Ross, Qiong Mu
Ross, Qiong Mu is an individual health care provider with primary practice located at 625 N Monte Vista St , Ada OK 74820-4613. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ross, Qiong Mu can be contacted via phone (580) 436-5111.Contact Information
Primary practice address
625 N Monte Vista St
Ada OK 74820-4613
Phone: (580) 436-5111
Fax: (580) 436-1159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 99604 | Oklahoma |
Profile Details
| NPI number | 1053705673 |
|---|---|
| LBN Legal business name | Ross, Qiong Mu |
| Credentials | APRN-CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2015 |
| Last updated | Aug 21st, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053705673 | NPPES |
| Oklahoma | MEDICAID | 200592400A |
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