Provider Demographics
NPI:1043648660
Name:MCCLATCHIE, MARIA DANIELLE (ACNP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:DANIELLE
Last Name:MCCLATCHIE
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Gender:F
Credentials:ACNP
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Other - Credentials:
Mailing Address - Street 1:PO BOX 26901
Mailing Address - Street 2:ROOM 2140
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126-0901
Mailing Address - Country:US
Mailing Address - Phone:405-271-5781
Mailing Address - Fax:405-271-3919
Practice Address - Street 1:920 STANTON L YOUNG BLVD
Practice Address - Street 2:WILLIAMS PAVILION ROOM 2140
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5036
Practice Address - Country:US
Practice Address - Phone:405-271-5781
Practice Address - Fax:405-271-3919
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2014-01-28
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Provider Licenses
StateLicense IDTaxonomies
OK0096018163WC0200X
OK96018363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care