Individual
KRISTINA SHOOPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5440
Mailing address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0077029
OK
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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