Individual
STEFANY SUE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(405) 307-1500
Mailing address
PO BOX 52, VERDEN, OK 73092-0052
(405) 274-9671
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
109496
OK
363L00000X
Nurse Practitioner
Primary
R0109496
OK
363LF0000X
Family Nurse Practitioner
F01200268
OK
Other
Enumeration date
01/02/2020
Last updated
06/11/2021
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