NPI 1073619565
Angela M Rose, LPN
Practice location
- Address
- 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007
- Phone
- (405) 878-4693
- Fax
- (405) 878-4690
- Mailing address
- PO Box 622, Newalla, OK 74857-0622
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1073619565
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Sep 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.