Healthcare Provider Details

I. General information

NPI: 1528972585
Provider Name (Legal Business Name): SONYA LORRAINE MCCRAW RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 E MONROE AVE
MCALESTER OK
74501-4815
US

IV. Provider business mailing address

3033 S PEACEABLE RD
MCALESTER OK
74501-7274
US

V. Phone/Fax

Practice location:
  • Phone: 918-420-5343
  • Fax: 918-420-5904
Mailing address:
  • Phone: 918-420-5943
  • Fax: 918-420-5904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0115054
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: