Rawdon, Anna Nicole

Rawdon, Anna Nicole is an individual health care provider with primary practice located at 4409 N Kickapoo Ave Ste 121 , Shawnee OK 74804-1225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rawdon, Anna Nicole can be contacted via phone (405) 585-0475.

Contact Information

Primary practice address
4409 N Kickapoo Ave Ste 121 Shawnee OK 74804-1225
Phone: (405) 585-0475
Fax: (855) 685-0408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R00770066 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 77066 Oklahoma

Profile Details

NPI number 1225270705
LBN Legal business name Rawdon, Anna Nicole
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2009
Last updated Aug 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225270705 NPPES
Oklahoma MEDICAID 200236190A

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