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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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NORRIS, NATHAN BLAKE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 220 SOUTH VAN BUREN ST.
ENID OK 73703-5812

Address last updated on 11/2/2024
Phone #: (580) 234-9355
Fax #: (580) 540-3016
County: GARFIELD
License: 35371
Dated: 1/16/2020
Expires: 1/1/2026
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 2013
CME Year: 2026
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
220 SOUTH VAN BUREN ST.
ENID OK 73703-5812

Phone #: (580) 234-9355
Fax #: (580) 540-3016
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TAMARA GRABEAL APRN 59923
SUSAN HIGHTOWER APRN 107079
CHAD YOUNG MCCREADY PA 4683
PHUNG KIM NGUYEN PA 5127
STEPHANIE STORM APRN 111627

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