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
Fax: (580) 436-1159
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053705673 NPPES
Oklahoma MEDICAID 200592400A

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