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Individual

STEPHANIE M MOSES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP, AGACNP-BC

Contact information

Practice address
1401 DR R ALEXANDER DR., OKMULGEE, OK 74447
(918) 756-4233
Mailing address
1306 E 26TH ST, TULSA, OK 74114-2734
(918) 230-0580

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
200390
OK
363LA2200X
Adult Health Nurse Practitioner
200390
OK

Other

Enumeration date
06/10/2021
Last updated
06/10/2021
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