Healthcare Provider Details

I. General information

NPI: 1245528116
Provider Name (Legal Business Name): SARAH CATHERINE NOBLE APRN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2011
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 S ELM PL STE 256
BROKEN ARROW OK
74012-7871
US

IV. Provider business mailing address

6600 S YALE AVE STE 1400
TULSA OK
74136-3331
US

V. Phone/Fax

Practice location:
  • Phone: 918-307-5440
  • Fax:
Mailing address:
  • Phone: 888-247-0125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number201214
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: