IndividualActive
Callee Moore, APRN
NPI 1548029473 · Psychiatric/Mental Health Nurse Practitioner · Heavener, OK
Provider details
- NPI number
- 1548029473
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 202536 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
511 E 2nd St
Heavener, OK 74937-3419
Phone: (918) 653-7718
Approximate (ZIP-level) locationGet directions
Mailing address
511 E 2nd St
Heavener, OK 74937-3419
Registry dates
- Enumerated
- 2024-03-14
- Last updated
- 2024-03-15
- Certified
- 2024-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.