| Angela M Shupert, RN | |
|
511 E 2nd St, Heavener, OK 74937-3419 | |
| (918) 653-7718 | |
| Not Available |
| Full Name | Angela M Shupert |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 511 E 2nd St, Heavener, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366153496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 0112203 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Angela M Shupert, RN 20361 Pine Mtn Loop, Heavener, OK 74937-3679 Ph: (918) 658-4149 | Angela M Shupert, RN 511 E 2nd St, Heavener, OK 74937-3419 Ph: (918) 653-7718 |
Sally Dunn, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 511 E 2nd St, Heavener, OK 74937 Phone: 918-653-7718 | |
Tina G Wiles, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 501 East Second Street, Heavener, OK 74937 Phone: 918-653-7718 Fax: 918-653-7279 |