Healthcare Provider Details

I. General information

NPI: 1750683652
Provider Name (Legal Business Name): DEBORAH FIEGEL MS, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2010
Last Update Date: 11/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 S HIGHWAY 97
SAND SPRINGS OK
74063-3829
US

IV. Provider business mailing address

3905 S HIGHWAY 97
SAND SPRINGS OK
74063-3829
US

V. Phone/Fax

Practice location:
  • Phone: 918-245-7500
  • Fax:
Mailing address:
  • Phone: 918-245-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberF1110120
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: