Individual
MRS. DIANA LYNN STURDEVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
315 W ELECTRIC AVE, MCALESTER, OK 74501-3600
(918) 423-4661
Mailing address
PO BOX 1117, KREBS, OK 74554-1117
(918) 426-5610
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
R0062940
OK
Other
Enumeration date
12/29/2007
Last updated
12/29/2007
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