Provider Demographics
NPI:1700213774
Name:MCWHIRT, LEANNE R (NP)
Entity Type:Individual
Prefix:
First Name:LEANNE
Middle Name:R
Last Name:MCWHIRT
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Mailing Address - Street 1:101 ROCKEFELLER DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-5056
Mailing Address - Country:US
Mailing Address - Phone:918-681-6847
Mailing Address - Fax:918-681-6846
Practice Address - Street 1:101 ROCKEFELLER DR
Practice Address - Street 2:SUITE 203
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-5056
Practice Address - Country:US
Practice Address - Phone:918-681-6847
Practice Address - Fax:918-681-6846
Is Sole Proprietor?:No
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK76250363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner