Provider Demographics
NPI:1912905878
Name:POSTIER, PATRICIA ANNE (ARNP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANNE
Last Name:POSTIER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4602 HIGHWAY 59 N
Mailing Address - Street 2:
Mailing Address - City:GROVE
Mailing Address - State:OK
Mailing Address - Zip Code:74344-4229
Mailing Address - Country:US
Mailing Address - Phone:918-786-5026
Mailing Address - Fax:918-786-5141
Practice Address - Street 1:4602 HIGHWAY 59 N
Practice Address - Street 2:
Practice Address - City:GROVE
Practice Address - State:OK
Practice Address - Zip Code:74344-4229
Practice Address - Country:US
Practice Address - Phone:918-786-5026
Practice Address - Fax:918-786-5141
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0068852363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100194910AMedicaid
OK100194910AMedicaid