Basic Information
Provider Information
NPI: 1982323895
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHRICK
FirstName: EMILY
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: DNP, APRN, FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2210 DUNCAN REGIONAL LOOP
Address2:  
City: DUNCAN
State: OK
PostalCode: 735331564
CountryCode: US
TelephoneNumber: 5802516657
FaxNumber:  
Practice Location
Address1: 2635 W ELK AVE
Address2:  
City: DUNCAN
State: OK
PostalCode: 735331572
CountryCode: US
TelephoneNumber: 5802526080
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/24/2022
LastUpdateDate: 08/24/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/24/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X209959OKY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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