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OB-GYN OF GREEN COUNTRY
NPI 1720039415
Nurse Practitioner - Women's Health in Pryor, OK

Active since May 15, 2006
14 S VANN ST, PRYOR, OK 74361(918) 825-4800(918) 825-4809 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ob-gyn Of Green Country NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OB-GYN OF GREEN COUNTRY (NPI 1720039415) is a healthcare organization registered as a women's health in Pryor, Oklahoma and active in the NPI registry since May 2006. The organization lists Tana M Stutzman, Vp, as its authorized official.

NPPES Registry Identity

NPI1720039415
Entity TypeOrganization
Primary Taxonomy363LW0102X
Legal Business NameOB-GYN OF GREEN COUNTRY
Location Address14 S VANN STPryor, OK 74361-3613
Mailing Address14 S Vann StPryor, OK 74361-3613 · (918) 825-4800 · Fax (918) 825-4809
Phone(918) 825-4800
Fax(918) 825-4809
Organization SubpartNo
Authorized OfficialTana M StutzmanVp · (918) 825-4800
Enumeration DateMay 15, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1720039415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in OK · R0071260
14 S VANN ST, Pryor, OK 74361
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINP55041OK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TANA M STUTZMAN ARNP
Nurse Practitioner (Women's Health)
14 S VANN ST
PRYOR, OK 74361
Mayes County (918) 825-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ob-Gyn Of Green Country's NPI number?

The NPI number for Ob-Gyn Of Green Country is 1720039415. It was assigned to this organization in the NPPES registry on May 15, 2006.

Where is Ob-Gyn Of Green Country located?

Ob-Gyn Of Green Country is located at 14 S Vann St, Pryor, OK 74361. The listed phone number is (918) 825-4800.

What is Ob-Gyn Of Green Country's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Ob-Gyn Of Green Country was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.