| Shannon Bruey, | |
|
1202 W Farm Rd, Stillwater, OK 74078-2000 | |
| (405) 744-7665 | |
| (405) 744-6556 |
| Full Name | Shannon Bruey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1202 W Farm Rd, Stillwater, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265985717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 96735 (Oklahoma) | Secondary |
| 363L00000X | Nurse Practitioner | R0096735 (Oklahoma) | Primary |
| Entity Name | Minuteclinic Diagnostic Of Oklahoma Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285765727 PECOS PAC ID: 9739268897 Enrollment ID: O20080501000151 |
| Entity Name | Williams Medical Group Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300 |
| Entity Name | Minuteclinic Video Virtual Care, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316402746 PECOS PAC ID: 0143650416 Enrollment ID: O20200721001551 |
| Entity Name | Brain Health And Counseling Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891515391 PECOS PAC ID: 9931639986 Enrollment ID: O20250206001636 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Bruey, 1202 W Farm Rd, Stillwater, OK 74078-2000 Ph: (405) 744-7665 | Shannon Bruey, 1202 W Farm Rd, Stillwater, OK 74078-2000 Ph: (405) 744-7665 |
Melissa Dawn Mcray, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1323 W 6th Ave, Stillwater, OK 74074 Phone: 405-784-5842 | |
Connie R Lowry, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1815 W 6th Ave, Stillwater, OK 74074 Phone: 405-743-7300 | |
Debra O'day, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1323 W 6th Ave, Stillwater, OK 74074 Phone: 405-372-1480 | |
Toby Lea Miller, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1603 W 9th Ave, Stillwater, OK 74074 Phone: 405-379-0002 Fax: 405-300-1090 | |
Jeremiah Bro, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 W 6th Ave Ste 207, Stillwater, OK 74074 Phone: 405-533-3010 | |
Mrs. Laura De Mauriac Shaw, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1411 W 7th St, Ste 102, Stillwater, OK 74074 Phone: 405-624-8222 Fax: 405-372-3769 | |
Shanna Lynn Douglass, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 W 6th Ave Ste 207, Stillwater, OK 74074 Phone: 405-533-3010 |