Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ponca City Primary Care LLC

Organization Family Nurse Practitioner · NPI 1831472620

Ponca City Primary Care LLC is a Family Nurse Practitioner in Ponca City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2011.

Licensed in
OK
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

417 Fairview Ave
Ponca City, OK 74601-1923
Phone: (580) 762-6100
Fax: (580) 762-6104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R0050756 (OK)

Record details

NPI number1831472620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ahmad Agha — President · (580) 762-6100
NPI enumeratedSeptember 28, 2011
Last updated in NPPESSeptember 28, 2011
Mailing address417 Fairview Ave, Ponca City, OK 74601-1923

Other providers in Ponca City