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Shannon Renee Brady-bardsher, ARNP
Family Nurse Practitioner in Chickasha, Oklahoma
NPI 1316211600

Shannon Renee Brady-bardsher is a Family Nurse Practitioner based in Chickasha, OK and is specialized in Family. Shannon Renee Brady-bardsher practices in Chickasha, OK and has the professional credentials of ARNP. The NPI Number for Shannon Renee Brady-bardsher is 1316211600 and holds a License No. 83612 (Oklahoma).

The current practice location address for Shannon Renee Brady-bardsher is 2220 W Iowa Ave, Chickasha, OK and can be reached out via phone at 405-779-2834.

Location: 2220 W Iowa Ave, Chickasha, OK, 73018-2738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316211600
Provider Name
Shannon Renee Brady-bardsher
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
2220 W Iowa Ave, Chickasha, OK, 73018-2738
Phone Number
405-779-2834
Fax Number
Provider Enumeration Date
03/03/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200452510A 05 OK
institution
Provider Business Practice Location Address Details
Address
2220 W Iowa Ave
City
Chickasha
State
Oklahoma
Zip
73018-2738
Phone Number
405-779-2834
Fax Number
person
Provider Business Mailing Address Details
Address
2220 W Iowa Ave
City
Chickasha
State
Oklahoma
Zip
73018-2738
Phone Number
405-779-2834
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
83612 (Oklahoma)
Definition
Definition to come...
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