Healthcare Provider Details

I. General information

NPI: 1689471161
Provider Name (Legal Business Name): GEORGEANN TREVA STOOPS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 NW EXPRESSWAY STE 200
OKLAHOMA CITY OK
73112-4491
US

IV. Provider business mailing address

8306 S SILVER RDG
STILLWATER OK
74074-6654
US

V. Phone/Fax

Practice location:
  • Phone: 405-713-9900
  • Fax: 405-713-9920
Mailing address:
  • Phone: 918-625-0013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License Number224999
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberR0068589
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number224999
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: