Pauletta Mae Bearpaw, LPN
Individual provider Active NPI Licensed Practical Nurse · Jay, OK
NPI 1255099552 · NPPES record last updated Dec 3, 2021
Key facts
- NPI
- 1255099552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L0038508 (OK)
- Practice address
- 859 E Melton Dr
Jay, OK 74346-2704 - Phone
- (918) 253-4271
- Fax
- (918) 253-4938
- NPI assigned
- Dec 3, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L0038508 | OK | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L0038508 | OK | Yes |
Addresses
Primary practice location
859 E Melton Dr
Jay, OK 74346-2704
Mailing address
859 E Melton Dr
Jay, OK 74346-2704
Phone (918) 253-4271
Other providers in Jay, OK
- Kory Kaitlyn Andrews
- Haley Armbrister
- Heather Dawn Atchley
- Julie R Baker
- Shaenna Christian Barton
- Autumn Kris Ann Beckman
- Savannah Dawn Belden
- Kaitlin Benge
- Linda Jewel Bingham
- Kimberly Angel Blanton
All providers in Jay, OK · Licensed Practical Nurse in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.