Stephanie Ann Barlow, LPN

Individual provider Active NPI Licensed Practical Nurse · Shawnee, OK

NPI 1972609691 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1972609691
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
L0044278 (OK)
Practice address
2307 S Gordon Cooper Dr
Shawnee, OK 74801-9007
Phone
(405) 273-5236
NPI assigned
Sep 16, 2006
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

State licenses

LicenseStateTypeSpecialty
L0044278OKMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L0044278 OK Yes

Addresses

Primary practice location

2307 S Gordon Cooper Dr
Shawnee, OK 74801-9007

Mailing address

19901 Malone Rd
Tecumseh, OK 74873-7213
Phone (405) 642-6722

Other identifiers

IdentifierTypeStateIssuer
L0044278OtherOKLPN

Other providers in Shawnee, OK

All providers in Shawnee, OK · Licensed Practical Nurse in Oklahoma

Sources for this page

Verify at the official NPI Registry.