Provider Demographics
NPI:1356472195
Name:FERRARO, MARY SCHWAB (CRNP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:SCHWAB
Last Name:FERRARO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 N FLORENCE
Mailing Address - Street 2:SUITE 350
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-3275
Mailing Address - Country:US
Mailing Address - Phone:918-343-8574
Mailing Address - Fax:918-343-8575
Practice Address - Street 1:1501 N FLORENCE
Practice Address - Street 2:STE 350
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-3275
Practice Address - Country:US
Practice Address - Phone:918-343-8574
Practice Address - Fax:918-343-8575
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK112722363L00000X
PAUP005344B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily