Individual
SHANNON BRUEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 W FARM RD, STILLWATER, OK 74078-2000
(405) 744-7665
(405) 744-6556
Mailing address
1202 W FARM RD, STILLWATER, OK 74078-2000
(405) 744-7665
(405) 744-6556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
96735
OK
363L00000X
Nurse Practitioner
Primary
R0096735
OK
Other
Enumeration date
08/02/2016
Last updated
09/11/2025
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