Individual
MICHELLE RAE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
900 E MAIN ST BLDG 52, NORMAN, OK 73071-5305
(405) 307-4800
Mailing address
505 W COMANCHE ST # A, NORMAN, OK 73069-5616
(580) 736-1372
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
64158
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64158
OKLAHOMA BOARD OF NURSING
OK
Enumeration date
07/04/2017
Last updated
07/04/2017
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