MEDICARE: LAURA COLEEN BYOUS-SCHAEFER APRN-CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	200172	OK
2	176B00000X	Midwife	200172	OK
3	176B00000X	Midwife		OK

General Provider Information

NPI Number	:	1013509728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA COLEEN BYOUS-SCHAEFER APRN-CNM

Provider Business Mailing Address
First Line	:	1705 W MAIN ST
Second Line	:
City	:	DURANT
State	:	OK
Zip	:	74701-4911
Country	:	US
Telephone Number	:	903-880-9531
Fax Number	:

Provider Business Practice Location Address
First Line	:	1921 STONECIPHER DR
Second Line	:
City	:	ADA
State	:	OK
Zip	:	74820-3439
Country	:	US
Telephone Number	:	580-436-3980
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2021
Last Update Date	:	01/30/2026

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