Healthcare Provider Details

I. General information

NPI: 1366414583
Provider Name (Legal Business Name): STEPHANIE M KRAMER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3433 NW 56TH ST SUITE 750
OKLAHOMA CITY OK
73112-4455
US

IV. Provider business mailing address

16 NW 63RD ST SUITE 201
OKLAHOMA CITY OK
73116-9116
US

V. Phone/Fax

Practice location:
  • Phone: 405-945-4900
  • Fax: 405-946-4901
Mailing address:
  • Phone: 405-419-8420
  • Fax: 405-419-7745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberR0057269
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: