Roberta Dehaas

Licensed Practical Nurse · Enid, OK

Individual Active NPI

NPI number 1811210354

Practice location

702 N Grand St
Enid, OK 73701-3221
Phone
(580) 234-3791
Fax
(580) 237-7711

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NPI record

NPI
1811210354
Entity type
Individual (Type 1)
Enumeration date
March 11, 2010
Last updated
March 11, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 33653 OK

Mailing address

1222 10TH St
Suite 211
Woodward, OK 73801-3156
Phone
(580) 234-3791
Fax
(580) 237-7711

About Roberta Dehaas

Roberta Dehaas is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 702 N Grand St, Enid, OK 73701-3221. The NPI number 1811210354 was assigned on March 11, 2010 and the record was last updated on March 11, 2010.

Roberta Dehaas lists a license in the registry: #33653 (OK) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Roberta Dehaas?

The NPI number is 1811210354.

What is the phone number of Roberta Dehaas?

The phone number listed for the practice location is (580) 234-3791.

Where is Roberta Dehaas located?

702 N Grand St, Enid, OK 73701-3221.

What is the taxonomy code for Roberta Dehaas?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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