| Doctor Name: | REBECCA STOVER |
| NPI Number: | 1477925535 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, NP-C |
| License Number: | 0096200 |
| Business Practice Address: | 813 Veterans Way Broken Bow, OK - 74728 |
| Business Phone Number: | 5805846600 |
| Business Fax Number: | 5805846603 |
| Mailing Address: | 813 Veterans Way, BROKEN BOW |
| State: | OK |
| Postal Code: | 747280554 |
| Phone Number: | 5805846600 |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2015 |
| NPI Last Update Date: | 02/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0096200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |