Provider Demographics
NPI:1073930871
Name:DEES, SANDRA CAROL (RN)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:CAROL
Last Name:DEES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:SANDRA
Other - Middle Name:CAROL
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:35602 S MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:INOLA
Mailing Address - State:OK
Mailing Address - Zip Code:74036-5749
Mailing Address - Country:US
Mailing Address - Phone:918-223-5250
Mailing Address - Fax:
Practice Address - Street 1:1120 S UTICA AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4012
Practice Address - Country:US
Practice Address - Phone:918-579-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0106418163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse