Organization
BRUSHY ELEMENTARY SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON RENE EDWARDS RN, BSN (SCHOOL NURSE/MEDICAID COORDINATOR)
(918) 775-4458
Entity
Organization
Contact information
Practice address
100968 S 4650 RD, SALLISAW, OK 74955-2672
(918) 775-4458
(918) 775-3638
Mailing address
100968 S 4650 RD, SALLISAW, OK 74955-2672
(918) 775-4458
(918) 775-3638
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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