Individual
STEPHANIE LYNN PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
205 HARRIS CIR STE 102, TAHLEQUAH, OK 74464-8849
(918) 458-2487
(918) 458-2485
Mailing address
600 MAY AVE, TAHLEQUAH, OK 74464-4821
(918) 506-0315
(918) 458-2485
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
207208
OK
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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