Provider Demographics
NPI:1134467640
Name:PRICE, STEVEN (LPN)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:PRICE
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4714 RANCHWOOD TERRACE
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072
Mailing Address - Country:US
Mailing Address - Phone:716-946-3663
Mailing Address - Fax:
Practice Address - Street 1:4713 RANCHWOOD TER
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-3128
Practice Address - Country:US
Practice Address - Phone:716-946-3663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-18
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174592146N00000X
NY300937164W00000X
OK64924164W00000X
OK24664225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist