Individual
STANA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
6655 S YALE AVE, LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, TULSA, OK 74136-3326
(918) 491-3700
(918) 491-5740
Mailing address
PO BOX 707001, TULSA, OK 74170-7001
(918) 491-3700
(918) 491-5740
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
94243
OK
390200000X
Student in an Organized Health Care Education/Training Program
0094243
OK
Other
Enumeration date
01/05/2015
Last updated
01/31/2017
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