NPI 1962117663 · live from the CMS NPI Registry
Sarah Mansur, RN
Registered Nurse in Broken Arrow, OK. National Provider Identifier 1962117663, active.
NPI record
| NPI | 1962117663 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse 163W00000X |
| Practice location | 221 W Commercial St, Broken Arrow, OK 74012 |
| Practice phone | 918-876-7483 |
| Enumerated | January 17, 2023 |
| Last updated | January 17, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | 0126289 (OK) |
| Registered Nurse primary | 163W00000X | 0126289 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.