Individual
MARY JEAN STUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
6820 NW 23RD ST, BETHANY, OK 73008-5217
(405) 495-5154
Mailing address
6820 NW 23RD ST, BETHANY, OK 73008-5217
(405) 495-5154
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0050714
OK
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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