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Individual

MS. SHAUN CARRICK BARANOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNM

Contact information

Practice address
717 S HOUSTON AVE STE 200, TULSA, OK 74127-9005
(918) 586-4500
(918) 586-4528
Mailing address
5310 E 31ST ST FL 13, TULSA, OK 74135-5018
(918) 561-5701
(918) 561-1173

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
92717
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1X5106
MEDICARE
OK
05
200515500A
OK
Enumeration date
09/19/2013
Last updated
01/10/2022
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