Kristina Marie Stout, APRN-CNP | |
16 S Water St, Sapulpa, OK 74066-4232 | |
(918) 347-9022 | |
(918) 347-9263 |
Full Name | Kristina Marie Stout |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 16 S Water St, Sapulpa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629789276 | NPI | - | NPPES |
201142270A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 210451 (Oklahoma) | Primary |
Entity Name | Warren Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174582282 PECOS PAC ID: 8820900293 Enrollment ID: O20031104000252 |
Mailing Address | Practice Location Address |
---|---|
Kristina Marie Stout, APRN-CNP 16 S Water St, Sapulpa, OK 74066-4232 Ph: (918) 347-9022 | Kristina Marie Stout, APRN-CNP 16 S Water St, Sapulpa, OK 74066-4232 Ph: (918) 347-9022 |
Ms. Linda C Byrd, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1808 S Hickory St, Sapulpa, OK 74066 Phone: 918-224-5531 Fax: 918-224-1739 | |
Ms. Jenny Dawn Lloyd, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 E Taft Ave, Sapulpa, OK 74066 Phone: 918-224-8425 Fax: 918-224-8426 | |
Misty Stephens, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 E Bryan Ave, Sapulpa, OK 74066 Phone: 918-227-1000 | |
Carla Newton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 E Bryan Ave, Sapulpa, OK 74066 Phone: 918-227-1000 Fax: 918-293-3129 | |
Kristin Tidwell, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1008 W Taft Ave, Sapulpa, OK 74066 Phone: 918-347-8090 | |
Johnnie Brasuell, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1125 E Cleveland Ave, Sapulpa, OK 74066 Phone: 918-224-9310 Fax: 918-756-3993 | |
Mrs. Shea Lyn Despain, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 S Water St, Sapulpa, OK 74066 Phone: 918-347-9022 |