IndividualActive
Erica De Santos, A.P.R.N
NPI 1396355350 · Primary Care Nurse Practitioner · Hollis, OK
Provider details
- NPI number
- 1396355350
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- A.P.R.N
- Sex
- Female
- Sole proprietor
- No
- License
- 103519 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
400 E Sycamore St
Hollis, OK 73550-1436
Phone: (580) 688-2800
Fax: (580) 688-2193
Approximate (ZIP-level) locationGet directions
Mailing address
400 E Sycamore St
Hollis, OK 73550-1436
Registry dates
- Enumerated
- 2020-08-05
- Last updated
- 2024-12-04
- Certified
- 2024-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.