Individual
MRS. STEPHANIE SUE MCQUARTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1840 SOUTH LION AVENUE, BROKEN ARROW, OK 74012
(918) 574-5124
Mailing address
1809 E 13TH ST, STE 400, TULSA, OK 74104-4431
(918) 599-8200
(918) 583-4678
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
72210
OK
332B00000X
Durable Medical Equipment & Medical Supplies
72210
OK
363LF0000X
Family Nurse Practitioner
Primary
72210
OK
Other
Enumeration date
09/13/2017
Last updated
12/24/2024
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