Whalio Doctors

NPI 1073619565

Angela M Rose, LPN

Practitioner Licensed Practical Nurse Shawnee, OK

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
Nursing Service Providers Taxonomy 164W00000X Licence L0050173 (OK)

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.