Doctor Name: | SARA BETH MCDADE |
NPI Number: | 1205151974 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | R0075023 |
Business Practice Address: | 3300 Nw Expressway Nzti Okc, OK - 73112 |
Business Phone Number: | 4059493349 |
Business Fax Number: | |
Mailing Address: | 3300 Nw Expressway, Nzti OKC |
State: | OK |
Postal Code: | 73112 |
Phone Number: | 4059493349 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2010 |
NPI Last Update Date: | 08/31/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | R0075023 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |