Provider Demographics
NPI:1225070485
Name:LIVINGSTON, CENE' L (DNP, APRN-BC, CNE)
Entity Type:Individual
Prefix:DR
First Name:CENE'
Middle Name:L
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:DNP, APRN-BC, CNE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 660
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:OK
Mailing Address - Zip Code:73078-0660
Mailing Address - Country:US
Mailing Address - Phone:405-373-2400
Mailing Address - Fax:405-373-4400
Practice Address - Street 1:11109 SURREY HILLS BLVD
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-8155
Practice Address - Country:US
Practice Address - Phone:405-373-2400
Practice Address - Fax:405-373-4400
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2024-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0066016363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200080000AMedicaid