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Individual

MS. RITA JANE SHEWMAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
200 2ND AVE SW, MIAMI, OK 74354-6830
(918) 540-7573
(918) 540-7590
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(918) 540-7573
(918) 540-7590

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44115
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100229140A
OK
05
200468380Y
OK
Enumeration date
03/02/2006
Last updated
04/05/2017
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