Provider Demographics
NPI:1760721294
Name:LOVE, EMILY RUTH (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:RUTH
Last Name:LOVE
Suffix:
Gender:F
Credentials:APRN-CNP
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Mailing Address - Street 1:3915 SMISER RD
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:OK
Mailing Address - Zip Code:74730-3854
Mailing Address - Country:US
Mailing Address - Phone:580-434-6513
Mailing Address - Fax:580-434-6513
Practice Address - Street 1:712 N. MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:CALERA
Practice Address - State:OK
Practice Address - Zip Code:74730
Practice Address - Country:US
Practice Address - Phone:580-434-6512
Practice Address - Fax:580-434-6513
Is Sole Proprietor?:No
Enumeration Date:2013-02-04
Last Update Date:2022-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK96219363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily