Whalio Doctors

NPI 1083250757

Kyndal Renee' Stevens, APRNCNP

Practitioner Family Nurse Practitioner Broken Arrow, OK

Practice location

Address
2617 S Elm Pl, Broken Arrow, OK 74012-7850
Phone
(918) 455-0414
Mailing address
1409 W 118th St S, Jenks, OK 74037-4262

Registered specialties

Family Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 97099 (OK)

Registry record

NPI
1083250757
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Nov 2019
Record last updated
26 Nov 2019

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.