STEPHANIE MAE PORTER

CLAREMORE, OK
NPI1699247213
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WE0003X Registered Nurse, Emergency
(Licence: OK  102328)
Additional Taxonomies163WA2000X Registered Nurse, Administrator
(Licence: OK  102328)
163WC0200X Registered Nurse, Critical Care Medicine
(Licence: OK  102328)
Enumeration Date2018-12-20
Last Update Date2018-12-20
Business Address
STEPHANIE MAE PORTER
101 S MOORE AVE
CLAREMORE, OK 74017-5047
Phone number: 918-342-6495
Mailing Address
STEPHANIE MAE PORTER
101 S MOORE AVE
CLAREMORE, OK 74017-5047
Phone number: