Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | CPM # 16040016 |
NPI | 1104272608 |
---|---|
Provider Name | Rebecca Schulz |
First Address | Sand Springs, OK 74063-4790 |
Second Address | Sand Springs, OK 74063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2016 |
Last Update Date | 13/05/2016 |