IndividualActive
Addie Gratz, ARNP
NPI 1669498051 · Primary Care Nurse Practitioner · Kingston, OK
Provider details
- NPI number
- 1669498051
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- License
- R0067529 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9 N Main St
Kingston, OK 73439-6562
Phone: (580) 564-0500
Fax: (580) 564-0250
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 849
Tishomingo, OK 73460-0849
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2017-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.