Individual
STEPHANIE MICHELLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
1401 MORRIS DR, OKMULGEE, OK 74447-6429
(918) 756-4233
Mailing address
3230 N 17TH ST W, MUSKOGEE, OK 74401-2437
(918) 710-8501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0113867
OK
163WC0400X
Case Management Registered Nurse
Primary
R0113867
OK
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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