Individual
STACEE LEE MCSPADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 SOUTH MOORE AVE., CLAREMORE, OK 74017
(918) 342-6200
(918) 342-6610
Mailing address
101 SOUTH MOORE AVE., CLAREMORE, OK 74017
(918) 342-6200
(918) 342-6610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
65285
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65285
RN LICENSE
OK
Enumeration date
10/05/2007
Last updated
10/05/2007
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