SEAN ANDERSON AGACNP-BC NPI 1164829057

NPI Information

NPI: 1164829057
Provider Name: SEAN ANDERSON, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
605 S ORCHARD ST
STILLWATER, OK
ZIP 74074
Phone: (405) 780-6650
Get Directions

Sean Anderson, AGACNP-BC is an acute care nurse practitioner in Stillwater, OK with 10 years of experience. Sean Anderson, AGACNP-BC NPI is 1164829057. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

605 S ORCHARD ST
STILLWATER, OK
ZIP 74074-218
Phone: (405) 780-6650
Fax: (405) 844-0562

The NPI 1164829057 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2014 and was last updated on 10/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	APN19170	TENNESSEE	No
2	363LG0600X	Nurse Practitioner	Gerontology	APN19170	TENNESSEE	No
3	363LA2100X	Nurse Practitioner	Acute Care	19170	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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