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Contact Information

DIANE REAGLE, RN
604 E GLENDALE ST
BROKEN ARROW, OK74011-3597
 Phone: 918-850-2233
 Fax: 877-777-2249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
 

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for DIANE REAGLE · (Female)

NPI Number 1578900791
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 05/29/2013
Last updated 05/29/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # R0049723
  • OK License # ROO49723
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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