Provider Demographics
NPI:1346932274
Name:ORSBURN, VALERIE ANN (RN)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:ANN
Last Name:ORSBURN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 END OF ROAD ST
Mailing Address - Street 2:
Mailing Address - City:POTEAU
Mailing Address - State:OK
Mailing Address - Zip Code:74953-5482
Mailing Address - Country:US
Mailing Address - Phone:918-649-5349
Mailing Address - Fax:
Practice Address - Street 1:312 END OF ROAD ST
Practice Address - Street 2:
Practice Address - City:POTEAU
Practice Address - State:OK
Practice Address - Zip Code:74953-5482
Practice Address - Country:US
Practice Address - Phone:918-649-5349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0120176163WG0600X, 163WX0800X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WG0600XNursing Service ProvidersRegistered NurseGerontology
No163WX0800XNursing Service ProvidersRegistered NurseOrthopedic