Provider Demographics
NPI:1023582350
Name:ROEBUCKTURNER, SHARDE L
Entity type:Individual
Prefix:DR
First Name:SHARDE
Middle Name:L
Last Name:ROEBUCKTURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5930 E 31ST ST STE 175
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-5107
Mailing Address - Country:US
Mailing Address - Phone:918-902-0168
Mailing Address - Fax:
Practice Address - Street 1:5930 E 31ST ST STE 175
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-5107
Practice Address - Country:US
Practice Address - Phone:918-902-0168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-21
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath
No175L00000XOther Service ProvidersHomeopath
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist