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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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BROSSEAU, NICHOLETTE CHRISTINE       
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: MUSCOGEE CREEK NATION - OKMULGEE
1401 MORRIS DR
OKMULGEE OK 74447

Address last updated on 12/16/2024
Phone #: (918) 756-4233
Fax #:
County: OKMULGEE
License: 4530
Dated: 2/9/2021
Expires: 3/31/2025
Temp. Ltr. Issued: 12/14/2020
Temp. Ltr. Expires: 3/11/2021
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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.
Locations: Hours: Languages:
MUSCOGEE CREEK NATION - OKMULGEE
1401 MORRIS DR
OKMULGEE OK 74447

Phone #: (918) 756-4233
Fax #:

Hospital Privileges:

Muscogee (Creek) Nation Medical Center (Okmulgee Mem. Hosp.)
Okmulgee, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
VERONICA AVILA MD 27310
PAVAN BRAR MD 27791
Catherine Gail Cudnoski DO 4894
STEPHEN MIKUS DO 5045
NIGEL N NAMAN MD 32500
SURAJ SUKU MD 24622

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