Rebecca Joy Stam
Nurse Practitioner - Community Health
12716 Ne 36th St
Spencer
, Oklahoma 73084-9167
Rebecca Joy Stam
Nurse Practitioner - Community Health
12716 Ne 36th St
Spencer
, Oklahoma 73084-9167
(405) 769-9685
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Rebecca Joy Stam
- Po Box 30589
- Midwest City, OK
- Zip : 73140-3589
- Fax : (405) 769-9685
- Phone : (405) 769-3301
Second Address
- Rebecca Joy Stam
- 12716 Ne 36th St
- Spencer, OK
- Zip : 73084-9167
- Fax : (405) 769-9685
- Phone : (405) 769-3301
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | R104170 | OK |
National Provider Identifier
| NPI | 1467722744 |
|---|---|
| Provider Name | Rebecca Joy Stam |
| First Address | Midwest City, OK 73140-3589 |
| Second Address | Spencer, OK 73084-9167 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2012 |
| Last Update Date | 16/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| R104170 | NURSING LICENSE (01) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.