Individual
MRS. CHAN VANNARATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4303 PITMAN ST, LAWTON, OK 73503-4473
(580) 585-5600
Mailing address
4303 PITMAN ST, LAWTON, OK 73503-4473
(580) 585-5600
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
84017
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1879
NURSE PRACTITIONER
OK
Enumeration date
11/17/2017
Last updated
10/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us