Weatherford, Dana Marie

Weatherford, Dana Marie is an individual health care provider with primary practice located at 503 S Aspen Ave , Broken Arrow OK 74012-2296. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Weatherford, Dana Marie can be contacted via phone (918) 286-6331.

Contact Information

Primary practice address
503 S Aspen Ave Broken Arrow OK 74012-2296
Phone: (918) 286-6331
Fax: (918) 806-6330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1503 Oklahoma

Profile Details

NPI number 1881711323
LBN Legal business name Weatherford, Dana Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jun 23rd, 2016 - about 9 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 1881711323 NPPES
Oklahoma MEDICAID 200161920A

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