Stephanie Michelle Anderson, BSN
Individual provider Active NPI Case Management Registered Nurse · Okmulgee, OK
NPI 1386492965 · NPPES record last updated May 9, 2024
Key facts
- NPI
- 1386492965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- R0113867 (OK)
- Practice address
- 1401 Morris Dr
Okmulgee, OK 74447-6429 - Phone
- (918) 756-4233
- NPI assigned
- May 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0113867 | OK | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R0113867 | OK | |
| Case Management Registered Nurse | 163WC0400X | R0113867 | OK | Yes |
Addresses
Primary practice location
1401 Morris Dr
Okmulgee, OK 74447-6429
Mailing address
3230 N 17TH St W
Muskogee, OK 74401-2437
Phone (918) 710-8501
Other providers in Okmulgee, OK
- Ashleigh C Allen
- Cynthia Marie Allen
- Dusty James Allen
- Shannon Michelle Allison
- Gerald Brett Anderson
- Linda Susan Aranaydo
- Kelsey N Ashley
- Rachel Kate Austin
- Jennifer Avery
- Heather Raynae Backus
All providers in Okmulgee, OK · Case Management Registered 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 May 9, 2024. 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.