Individual
STEPHANIE CHOATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1109 E CHEROKEE AVE, SALLISAW, OK 74955-5035
(918) 790-3309
(918) 775-0587
Mailing address
PO BOX 1019, SALLISAW, OK 74955-1019
(918) 790-3309
(918) 775-0587
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95513
OK
363L00000X
Nurse Practitioner
Primary
95513
OK
363LF0000X
Family Nurse Practitioner
95513
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15992220
CAQH
OK
05
—
200791200A
—
OK
Enumeration date
06/05/2018
Last updated
08/13/2025
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