Individual
SHAUNTAE ANTWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5018
(405) 271-6122
(405) 271-1570
Mailing address
8901 NW 106TH ST, OKLAHOMA CITY, OK 73162-6016
(405) 626-1056
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F08171150
OK
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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