Healthcare Provider Details

I. General information

NPI: 1902373681
Provider Name (Legal Business Name): SHERRIE RENEA BURTON ARNP-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2018
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1517 N BROOKWOOD DR
DUNCAN OK
73533-1356
US

IV. Provider business mailing address

1517 N BROOKWOOD DR
DUNCAN OK
73533-1356
US

V. Phone/Fax

Practice location:
  • Phone: 580-786-4008
  • Fax: 580-786-4012
Mailing address:
  • Phone: 580-786-4008
  • Fax: 580-786-4012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR0073442
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberR0073442
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: