Provider Demographics
NPI:1912762857
Name:NARRO, NAOMI MARIE (DC)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:MARIE
Last Name:NARRO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 PIEDMONT RD N STE C
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:OK
Mailing Address - Zip Code:73078-8185
Mailing Address - Country:US
Mailing Address - Phone:405-478-1507
Mailing Address - Fax:405-478-1592
Practice Address - Street 1:325 PIEDMONT RD N STE C
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:OK
Practice Address - Zip Code:73078-8185
Practice Address - Country:US
Practice Address - Phone:405-478-1507
Practice Address - Fax:405-478-1592
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-20
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4596111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor