Individual
DEBRA MAE WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, ARNP, CNSS
Contact information
Practice address
1122 NE 13TH ST, ORI 274, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
(405) 271-1001
Mailing address
825 NE 10TH ST, SUITE 5200, OKLAHOMA CITY, OK 73104-5417
(405) 271-3635
(405) 271-2523
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R0028057
OK
364S00000X
Clinical Nurse Specialist
Primary
R0028057
OK
Other
Enumeration date
02/23/2007
Last updated
10/02/2014
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