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Contact Information

SEAN ANDERSON, AGACNP-BC
605 S ORCHARD ST
STILLWATER, OK74074-4218
 Phone: 405-780-6650
 Fax: 405-844-0562
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SEAN ANDERSON · (Male)

NPI Number 1164829057
Status Active
Credentials AGACNP-BC (Adult-Gerontology Acute Care Nurse Practitioner)
Entity Individual
Enumeration date 11/20/2014
Last updated 10/20/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 19170
  • TN License # APN19170
Hospital affiliation(s)
  • STILLWATER MEDICAL CENTER - (Acute Care)
    1323 WEST 6TH STREET
    STILLWATER, OK 74076
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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