STACI BROOK DELAND RN
NPI 1306234190
Registered Nurse - Case Management in Oklahoma City, OK
Active since December 31, 2014
About Staci Brook Deland Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACI BROOK DELAND RN (NPI 1306234190) is an individual case management provider in Oklahoma City, Oklahoma, licensed in Oklahoma (R0105909) and active in the NPI registry since December 2014.
NPPES Registry Identity
NPI1306234190
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameSTACI BROOK DELANDCredential: RN
Location Address4913 W RENO AVEOklahoma City, OK 73127-6339
Mailing Address4913 W Reno AveOklahoma City, OK 73127-6339 · (405) 948-4900 · Fax (405) 948-4919
Phone(405) 948-4900
Fax(405) 948-4919
Sole ProprietorNo
Enumeration DateDecember 31, 2014
✔ NPI 1306234190 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License✔ Licensed in OK · R0105909
4913 W RENO AVE, Oklahoma City, OK 73127
Other Names 1
Former Name (1)Staci Brook Adams
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306234190, enumerated as an "individual" on December 31, 2014.
The provider is located at 4913 W RENO AVE OKLAHOMA CITY, OK 73127 and the phone number is (405) 948-4900.
Registered Nurse with taxonomy code 163WC0400X and a focus in Case Management.