NPI 1164829057 · live from the CMS NPI Registry
Sean Anderson, AGACNP-BC
Nurse Practitioner, Acute Care in Stillwater, OK. National Provider Identifier 1164829057, active.
NPI record
| NPI | 1164829057 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Acute Care 363LA2100X |
| Practice location | 605 S Orchard St, Stillwater, OK 74074 |
| Practice phone | 405-780-6650 |
| Mailing address | 1701 Renaissance Blvd, Edmond, OK 73013 |
| Enumerated | November 20, 2014 |
| Last updated | October 20, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Adult Health | 363LA2200X | APN19170 (TN) |
| Nurse Practitioner, Gerontology | 363LG0600X | APN19170 (TN) |
| Nurse Practitioner, Acute Care primary | 363LA2100X | 19170 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.