Individual
CAROLYN R STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
15951 LITTLE AXE DR, NORMAN, OK 73026
(405) 447-0300
(405) 701-7914
Mailing address
15951 LITTLE AXE DR, NORMAN, OK 73026
(405) 447-0300
(405) 701-7914
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0072130
OK
Other
Enumeration date
01/10/2006
Last updated
02/05/2013
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