Individual
MRS. STACEE DEANNE SMIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP, IBCLC
Contact information
Practice address
250 12TH AVE NE, NORMAN, OK 73071-5237
(405) 579-2236
Mailing address
250 12TH AVE NE, NORMAN, OK 73071-5237
(405) 579-2236
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
88833
OK
363LW0102X
Women's Health Nurse Practitioner
Primary
88833
OK
Other
Enumeration date
11/12/2012
Last updated
06/05/2014
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