Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY DANIELLE PROVENCE
ActiveSTACY DANIELLE PROVENCE is a Pediatric Nurse Practitioner healthcare provider located in BETHANY, Oklahoma. NPI 1912376765 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · BETHANY, OK
Registration Details
- NPI Number
- 1912376765
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 23, 2015 (10.864682406152 yrs)
- Last Updated
- Nov 14, 2019
- License
-
0089753 (OK)
Practice Information
- Address
-
6800 NW 39TH EXPYBETHANY, OK, 730082513Browse OK providers · Browse ZIP 73008
- Phone
- 4057896711
- Fax
- 4054406716
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
Other Pediatric Nurse Practitioner Providers in BETHANY, OK
| Name | Credential | NPI |
|---|---|---|
| EBONY C COLEMAN | MSN APRN FNP-C | 1942717665 |
| MR. DAVID MATHEW | APRN | 1861026254 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.