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

Larry Walter Church

Individual provider Registered Nurse · NPI 1285501783

Larry Walter Church is a Registered Nurse in Prague, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2025.

Licensed in
OK
In the registry since
2025

Practice location Address checks out

57523 Moccasin Trail Rd
Prague, OK 74864-1143
Phone: (405) 567-0054
Fax: (405) 567-0055
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence R0027933 (OK)

Record details

NPI number1285501783
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 20, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 20, 2025

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