Individual
REBEKAH SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,FNP
Contact information
Practice address
9003 N GARNETT RD, OWASSO, OK 74055-4495
(918) 272-2882
(918) 928-4225
Mailing address
2101 N 14TH ST STE 114, PONCA CITY, OK 74601-1807
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
80142
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80142
ADVANCED NURSING LICENSE
OK
Enumeration date
12/19/2017
Last updated
06/11/2019
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