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NPI Code Detail

MEDICARE: CY CALLAN FREEMAN

MEDICARE: CY CALLAN FREEMAN
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
1163WX0003XInpatient Obstetric Registered NurseR0137190OK

General Provider Information

NPI Number : 1063364115
Entity Type Code : Individual
Provider Name (Legal Business Name) : CY CALLAN FREEMAN
Provider Business Mailing Address
First Line : 521 WEBB AVE
Second Line :
City : ADA
State : OK
Zip : 74820-4637
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1007 N COUNTRY CLUB RD
Second Line :
City : ADA
State : OK
Zip : 74820-2847
Country : US
Telephone Number : 580-421-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 06/11/2026

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Directions to “ CY CALLAN FREEMAN ” Practice Location

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