Individual
SEAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
605 S ORCHARD ST, STILLWATER, OK 74074-4218
(405) 780-6650
(405) 844-0562
Mailing address
1701 RENAISSANCE BLVD, EDMOND, OK 73013-3086
(405) 844-4978
(405) 844-0562
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
19170
TN
363LA2200X
Adult Health Nurse Practitioner
APN19170
TN
363LG0600X
Gerontology Nurse Practitioner
APN19170
TN
Other
Enumeration date
11/20/2014
Last updated
10/20/2021
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