Most Relevant Information
Provider Data
| NPI Number: | 1003317991 |
| Provider Name: | ELIZABETH WALRATH NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP137668 |
Most Important Dates
| Enumeration Date: | 02/26/2018 |
| Last Updated: | 02/22/2024 |
Provider Practice Location
3300 CHANDLER RD STE 107
MUSKOGEE
OK
744034909
Practice Location Phone/Fax
| Phone: | 9189486360 |
| Fax: |
Provider Mailing Location
2745 DALLAS PKWY STE 500
PLANO
TX
750938900
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |