MRS. MANDA LEA STEPHENS


Address: 205 S. Park Lane, Altus, OK 73521
Phone: 5803796650

MRS. MANDA LEA STEPHENS (NPI# 1831471101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831471101
Entity Type Individual
Full Name MRS. MANDA LEA STEPHENS
Credential APRN, CNP
Practice Address 205 S. Park Lane
Altus
OK 73521
Practice Telephone 5803796650
Practice Fax Number 5803796659
Mailing Telephone 5803796650
Mailing Fax Number 5803796659
Enumeration Date 2011-09-13
Last Update Date 2013-10-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
66290 OK Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 205 S. PARK LANE
City ALTUS
State OK
Zip Code 73521

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1982263752 Shortgrass Community Health Center, Inc Clinic/Center 211 East Broadway, Altus, OK 73521 2019-06-06
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1649439167 Lisa Michelle Shelton Pharmacist 2500 N Main, Altus, OK 73521 2008-06-09
1114192911 Richard G. Henry Health Maintenance Organization 112 Val Verde, Altus, OK 73521 2008-04-23
1194881060 Resters Diabetic Shoes and Home Medical Durable Medical Equipment & Medical Supplies 103 West Commerce Street, Altus, OK 73521 2006-12-28
1265592141 Noble L Ballard.medical Clinic, Pllc Family Medicine 1015 East Broadway Street, Stuite 101, Altus, OK 73521 2006-12-11
1457377822 Comanche County Healthcare Family Medicine 3000 N Main St, Suite A, Altus, OK 73521 2006-07-15
1326095381 Charles C Carter Md Dph Pllc Family Medicine 1015 E Broadway St, Suite 102, Altus, OK 73521 2006-05-27
1013988179 Carol Marie Sherman Family Medicine 205 S Park Ln, Altus, OK 73521 2006-01-27
1235112426 Air Evac Ems Inc Ambulance 6333 N Main Street, Altus, OK 73521 2005-11-22
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1790315729 Robin Annette Dockins Nurse Practitioner 11404 Bluff Creek Dr, Oklahoma City, OK 73162-3725 2020-01-17
1174178784 Chelsea Monique Ritzendollar Nurse Practitioner 3946 U.S. Highway 270, Fort Supply, OK 73841-9718 2019-08-09
1194283424 Nancy Ann Owens Nurse Practitioner 5101 Sw 120th Ct, Oklahoma City, OK 73173-8875 2019-03-05
1528526084 Cheryl Renee Partridge Nurse Practitioner 16161 Moffat Rd., Lexington, OK 73051 2019-03-04
1457824161 Dawn Medi Spa, Inc Nurse Practitioner 1243 South Harvard Ave, Dawn Medi Spa, Inc, Tulsa, OK 74112 2019-01-04
1487125282 Michael Scott Eskew Nurse Practitioner 14100 Parkway Commons Dr Ste 100, Oklahoma City, OK 73134-6036 2018-12-06
1114494077 Crystal Jean Oneal Nurse Practitioner 10337 Paisley Rd, Yukon, OK 73099-7859 2018-10-30
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Competitor

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City ALTUS
Zip Code 73521

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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