NPI 1063816213 · live from the CMS NPI Registry
Stephanie Badaroux, PA-C
Physician Assistant in Norman, OK. National Provider Identifier 1063816213, active.
NPI record
| NPI | 1063816213 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 604 Sturtz Cir, Norman, OK 73072 |
| Practice phone | 405-819-9666 |
| Enumerated | October 17, 2014 |
| Last updated | February 23, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 1791 (OK) |
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.