Provider Demographics
NPI:1942581723
Name:CARNS, CATHY SUE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:SUE
Last Name:CARNS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:CATHY
Other - Middle Name:SUE
Other - Last Name:SHEEHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:102 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:MARLOW
Mailing Address - State:OK
Mailing Address - Zip Code:73055-2418
Mailing Address - Country:US
Mailing Address - Phone:580-641-2255
Mailing Address - Fax:
Practice Address - Street 1:1902 EAST GORE BLVD
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501-6102
Practice Address - Country:US
Practice Address - Phone:580-357-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK44830363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily