Shinnen, Holly Nicole

Shinnen, Holly Nicole is an individual health care provider with primary practice located at 519 N Main St Ste 102 , Bristow OK 74010-2016. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Shinnen, Holly Nicole can be contacted via phone (918) 367-6611.

Contact Information

Primary practice address
519 N Main St Ste 102 Bristow OK 74010-2016
Phone: (918) 367-6611
Fax: (918) 367-9915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1517 Oklahoma

Profile Details

NPI number 1891991576
LBN Legal business name Shinnen, Holly Nicole
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Nov 13th, 2023 - about 3 years ago

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 1891991576 NPPES
Oklahoma MEDICAID 200225650A
Oklahoma Other P01099343

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