| Doctor Name: | MRS. DIANA LYNN STURDEVANT |
| NPI Number: | 1023293891 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNS |
| License Number: | R0062940 |
| Business Practice Address: | 315 W Electric Ave Mcalester, OK - 745013600 |
| Business Phone Number: | 9184234661 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1117, KREBS |
| State: | OK |
| Postal Code: | 745541117 |
| Phone Number: | 9184265610 |
| Fax Number: | |
| NPI Enumeration Date: | 12/29/2007 |
| NPI Last Update Date: | 12/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SG0600X |
| License Number: | R0062940 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |