Individual
MICHELLE RENEE STURDIVANT
Active
Individual
MICHELLE RENEE STURDIVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R0100094
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200791020A
—
OK
01
—
R0100094
LICENSE
OK
Enumeration date
10/29/2016
Last updated
12/26/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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