Individual
MR. STEPHEN NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
305 S 5TH ST, ENID, OK 73701-5832
(405) 299-3044
Mailing address
305 S 5TH ST, ENID, OK 73701-5832
(405) 299-3044
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
93117
OK
363L00000X
Nurse Practitioner
93117
OK
363L00000X
Nurse Practitioner
Primary
R0093117
OK
363LF0000X
Family Nurse Practitioner
93117
OK
Other
Enumeration date
01/28/2014
Last updated
08/20/2025
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