Healthcare Provider Details
I. General information
NPI: 1114590874
Provider Name (Legal Business Name): SHEILA KATHLEEN POWER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/21/2021
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
315 W 8TH ST
OKMULGEE OK
74447-5006
US
IV. Provider business mailing address
16290 OLD MORRIS HWY
OKMULGEE OK
74447-8548
US
V. Phone/Fax
- Phone: 918-457-0888
- Fax:
- Phone: 918-457-0888
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 207603 |
| License Number State | OK |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: