NPI Profile for STEPHANIE M MOSES in OKMULGEE, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner |
| NPI Number | 1134796774 |
|
| Status | Active | |
| Credentials | APRN-CNP, AGACNP-BC | |
| Entity | Individual | |
| Enumeration date | 06/10/2021 | |
| Last updated | 06/10/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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STEPHANIE M MOSES
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| CHRISTINA L MARTIN 1551 N 9TH ST BROKEN ARROW, OK |