Individual
MRS. SHERRI LYNN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN-CNP
Contact information
Practice address
4716 W URBANA ST, BROKEN ARROW, OK 74012-5997
(918) 872-6515
(918) 872-6516
Mailing address
4716 W URBANA ST, BROKEN ARROW, OK 74012-5997
(918) 872-6515
(918) 872-6516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0072815
OK
363LP2300X
Primary Care Nurse Practitioner
R0072815
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200560060 A
—
OK
05
—
200560060A
—
OK
Enumeration date
09/11/2008
Last updated
10/07/2022
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