Rawdon, Anna Nicole
Rawdon, Anna Nicole is an individual health care provider with primary practice located at 4409 N Kickapoo Ave Ste 121 , Shawnee OK 74804-1225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rawdon, Anna Nicole can be contacted via phone (405) 585-0475.Contact Information
Primary practice address
4409 N Kickapoo Ave Ste 121
Shawnee OK 74804-1225
Phone: (405) 585-0475
Fax: (855) 685-0408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R00770066 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 77066 | Oklahoma |
Profile Details
| NPI number | 1225270705 |
|---|---|
| LBN Legal business name | Rawdon, Anna Nicole |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2009 |
| Last updated | Aug 23rd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225270705 | NPPES |
| Oklahoma | MEDICAID | 200236190A |
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