Organization
RURAL OKLAHOMA BIRTH & WELLNESS INITIATIVE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MARIE FAIR FAIR (DIRECTOR)
(918) 510-5468
Entity
Organization
Contact information
Practice address
307 W 6TH ST, CLAREMORE, OK 74017-6005
(918) 510-5468
Mailing address
307 W 6TH ST, CLAREMORE, OK 74017-6005
(918) 510-5468
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
172V00000X
Community Health Worker
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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