Individual
MRS. SHANDY RAE GOSNELL STOTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP, DNP
Contact information
Practice address
800 NE 10TH ST FL 6, OKLAHOMA CITY, OK 73104-5418
(405) 213-8009
Mailing address
800 NE 10TH ST FL 6, OKLAHOMA CITY, OK 73104-5418
(405) 213-8009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
100569
OK
Other
Enumeration date
01/17/2017
Last updated
02/11/2020
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