Provider Demographics
NPI:1629540893
Name:STOESER, MENDY MARIE (DNP, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:MENDY
Middle Name:MARIE
Last Name:STOESER
Suffix:
Gender:F
Credentials:DNP, NP-C
Other - Prefix:MS
Other - First Name:MENDY
Other - Middle Name:MARIE
Other - Last Name:KUCHTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2801 PARKLAWN DR STE 100
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-4224
Mailing Address - Country:US
Mailing Address - Phone:405-455-5330
Mailing Address - Fax:405-455-5725
Practice Address - Street 1:755 RESEARCH PKWY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-3629
Practice Address - Country:US
Practice Address - Phone:800-356-3477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-27
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0088436363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner