NPI 1174552095 · live from the CMS NPI Registry
Myra Bess Mckiddy, R.N.
Registered Nurse, Diabetes Educator in Shawnee, OK. National Provider Identifier 1174552095, active.
NPI record
| NPI | 1174552095 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 2307 South Gordon Cooper Drive, Citizen Potawatomi Nation/Firelake Wellness Center, Shawnee, OK 74801 |
| Practice phone | 405-395-9303 |
| Mailing address | P.O. Box 218, Highway # 9, Tecumseh, OK 74873 |
| Enumerated | July 2, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator primary | 163WD0400X | 48859 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.