| Nutrition By Petra | |
|
3261 24th Ave Nw Ste 101, Norman, OK 73069-6666 | |
| (405) 492-6282 | |
| Not Available |
| Full Name | Nutrition By Petra |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 3261 24th Ave Nw Ste 101, Norman, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316445570 | NPI | - | NPPES |
| 1407232317 | Medicaid | OK | |
| 1912414947 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2053 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nutrition By Petra 10913 Rock Ridge Rd, Oklahoma City, OK 73120-5222 Ph: (858) 352-8354 | Nutrition By Petra 3261 24th Ave Nw Ste 101, Norman, OK 73069-6666 Ph: (405) 492-6282 |
Mrs. Elizabeth S Squires Stapley, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 N Porter Ave, Norman, OK 73071 Phone: 801-891-5091 | |
Lauren Annette Oakley, M.S, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 909 26th Ave Nw, Norman, OK 73069 Phone: 405-801-2323 | |
Sophia Louise Martz, MA, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2002 E Robinson St, Norman, OK 73071 Phone: 405-307-2800 | |
Laura Elizabeth Stout, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2405 Palmer Cir Ste 100, Norman, OK 73069 Phone: 405-561-7928 Fax: 405-310-9944 | |
Courtney E Crouse, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2002 E Robinson St, Norman, OK 73071 Phone: 405-410-6734 | |
Jordan Lynn Chappell, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 909 26th Ave Nw, Norman, OK 73069 Phone: 405-857-7224 | |
Bryce Wentzell, Dietitian Medicare: Medicare Enrolled Practice Location: 212 N Flood Ave, Norman, OK 73069 Phone: 317-474-1762 |