Provider Demographics
NPI:1083420913
Name:OFELIA MARIN, APRN, FNP-BC, LLC.
Entity type:Organization
Organization Name:OFELIA MARIN, APRN, FNP-BC, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:OFELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARIN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-BC
Authorized Official - Phone:580-216-0246
Mailing Address - Street 1:1418 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WOODWARD
Mailing Address - State:OK
Mailing Address - Zip Code:73801-3004
Mailing Address - Country:US
Mailing Address - Phone:580-216-0246
Mailing Address - Fax:405-913-1048
Practice Address - Street 1:1418 MAIN ST
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-3004
Practice Address - Country:US
Practice Address - Phone:580-216-0246
Practice Address - Fax:405-913-1048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care