Individual
STEPHANIE ALVILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 651-3344
Mailing address
20 FLORENE DR, MCLOUD, OK 74851-9515
(405) 651-3344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
99694
OK
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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