Doctor Name: | STEPHANIE A ADEE |
NPI Number: | 1114235611 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 53-75248-081 |
Business Practice Address: | 3400 E Frank Phillips Blvd Suite 502 Bartlesville, OK - 740062495 |
Business Phone Number: | 9183312577 |
Business Fax Number: | |
Mailing Address: | 226 Se Debell, Bldg A BARTLESVILLE |
State: | OK |
Postal Code: | 74006 |
Phone Number: | 9183312577 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2010 |
NPI Last Update Date: | 12/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 53-75248-081 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |