Provider Demographics
NPI:1053497461
Name:STEPHENS KRAUS, REGINA S (CNRN)
Entity Type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:S
Last Name:STEPHENS KRAUS
Suffix:
Gender:F
Credentials:CNRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 2 BOX 370
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OK
Mailing Address - Zip Code:73759
Mailing Address - Country:US
Mailing Address - Phone:580-532-4582
Mailing Address - Fax:580-532-4589
Practice Address - Street 1:102 S VAN BUREN
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703
Practice Address - Country:US
Practice Address - Phone:580-242-7030
Practice Address - Fax:580-242-7033
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0028124163W00000X
OKD6047659163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WN0800XNursing Service ProvidersRegistered NurseNeuroscience