Individual
SARAH KELLEEN MENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2005 PARKVIEW DR STE 2, EL RENO, OK 73036-2145
(405) 776-1465
(405) 869-7779
Mailing address
PO BOX 659506, SECTION 4142, SAN ANTONIO, TX 78265-0929
(405) 776-1465
(405) 869-7779
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
84662
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200616610A
—
OK
01
—
449668YX3Q
MEDICARE PTAN
OK
01
—
942489
MEDICARE PTAN
OK
Enumeration date
09/23/2015
Last updated
11/09/2021
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