Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 93962 | OK |
N | 363LC1500X | Nurse Practitioner - Community Health | 93962 | OK |
NPI | 1528539541 |
---|---|
Provider Name | Mrs. Sheena Margariet Musgrove |
First Address | Oklahoma City, OK 73142-6003 |
Second Address | Oklahoma City, OK 73179-1206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2018 |
Last Update Date | 24/02/2020 |