Individual
REBECCA STOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP-C
Contact information
Practice address
813 VETERANS WAY, BROKEN BOW, OK 74728
(580) 584-6600
(580) 584-6603
Mailing address
813 VETERANS WAY, BROKEN BOW, OK 74728-0554
(580) 584-6600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0096200
OK
Other
Enumeration date
10/28/2015
Last updated
02/05/2016
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