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Contact Information

TINA STULTS, RN ADMINISTRATOR
1510 W MAIN ST
DUNCAN, OK73533-4333
 Phone: 580-560-1879
 Fax: 580-255-3933
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
Indicates primary specialty

NPI Profile & details for TINA STULTS · (Female)

NPI # 1578211744
Status Active
Credentials RN ADMINISTRATOR
Entity Individual
Enumeration date 03/16/2022
Last updated 04/29/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # R0089788
  • OK Medicaid 200265030A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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