NPI 1295247963 · live from the CMS NPI Registry
Shauntae Antwine, FNP-C
Nurse Practitioner, Family in Oklahoma City, OK. National Provider Identifier 1295247963, active.
NPI record
| NPI | 1295247963 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 800 Stanton L Young Blvd, Oklahoma City, OK 73104 |
| Practice phone | 405-271-6122 |
| Mailing address | 8901 Nw 106th St, Oklahoma City, OK 73162 |
| Enumerated | November 2, 2017 |
| Last updated | November 2, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | F08171150 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.