Provider Demographics
NPI:1851525562
Name:WORKS, MANDIE MELISSA (ARNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:MANDIE
Middle Name:MELISSA
Last Name:WORKS
Suffix:
Gender:F
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N DOUGLAS BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-3326
Mailing Address - Country:US
Mailing Address - Phone:405-733-1700
Mailing Address - Fax:
Practice Address - Street 1:101 N DOUGLAS BLVD STE H
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-3326
Practice Address - Country:US
Practice Address - Phone:405-733-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK79285363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily