NPI 1528869997

Brittany Marie Moutaw

Practitioner Nurse's Aide Shawnee, OK

Practice location

Address: 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007
Phone: (405) 214-5111

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 37V838161017 (OK)

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Registry record

NPI: 1528869997
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2025
Record last updated: 21 Mar 2025

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.