Provider Demographics
NPI:1366864373
Name:STUCKI, LAURI (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:LAURI
Middle Name:
Last Name:STUCKI
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10701 N ROCKWELL AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-4537
Mailing Address - Country:US
Mailing Address - Phone:405-200-1229
Mailing Address - Fax:
Practice Address - Street 1:13301 N MERIDIAN AVE STE 400
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120
Practice Address - Country:US
Practice Address - Phone:405-755-4600
Practice Address - Fax:405-755-4137
Is Sole Proprietor?:No
Enumeration Date:2014-01-09
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK67460363LF0000X
OKR0067460163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily