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NPI Code Detail

MEDICARE: MRS. SANDRA RAYE ATTEBERY RNC MSN CNSBC CWON C

MEDICARE:  MRS. SANDRA RAYE ATTEBERY  RNC MSN CNSBC CWON C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364S00000XClinical Nurse SpecialistR0025966OK

General Provider Information

NPI Number : 1922101518
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SANDRA RAYE ATTEBERY RNC MSN CNSBC CWON C
Provider Business Mailing Address
First Line : 1011 HONOR HEIGHTS DRIVE
Second Line :
City : MUSKOGEE
State : OK
Zip : 74401-1399
Country : US
Telephone Number : 918-683-3261
Fax Number : 918-680-3879
Provider Business Practice Location Address
First Line : 1011 HONOR HEIGHTS DRIVE
Second Line :
City : MUSKOGEE
State : OK
Zip : 74401-1399
Country : US
Telephone Number : 918-683-3261
Fax Number : 918-680-3879
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. SANDRA RAYE ATTEBERY RNC MSN CNSBC CWON C” Practice Location

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