Provider Demographics
NPI:1932315736
Name:CHAMBERLAIN, PATRICIA SMITH (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:SMITH
Last Name:CHAMBERLAIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Mailing Address - Street 1:630 PRIMROSE LN
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE
Mailing Address - State:OK
Mailing Address - Zip Code:73044-6657
Mailing Address - Country:US
Mailing Address - Phone:405-282-5268
Mailing Address - Fax:405-282-5389
Practice Address - Street 1:215 FAIRGROUNDS RD
Practice Address - Street 2:SUITE A
Practice Address - City:GUTHRIE
Practice Address - State:OK
Practice Address - Zip Code:73044-4761
Practice Address - Country:US
Practice Address - Phone:405-282-3485
Practice Address - Fax:405-282-5389
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKD6332604363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health