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Individual

MRS. STEPHANIE RANAE MOWDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN,MS,CCNS

Contact information

Practice address
905 COLONY DR, ADA, OK 74820-2329
(580) 436-5111
(580) 436-1159
Mailing address
527 W 3RD ST, KONAWA, OK 74849-1415
(580) 925-3286
(580) 925-9149

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
R47989
OK
163WE0900X
Enterostomal Therapy Registered Nurse
R47989
OK
163WW0000X
Wound Care Registered Nurse
R47989
OK
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
R0047989
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
47989
OKLAHOMA BOARD OF NURSING
OK
Enumeration date
07/27/2009
Last updated
09/11/2025
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