Provider Demographics
NPI:1356995476
Name:MCGUIRE, KRISTIE MICHELLE (ARPN)
Entity type:Individual
Prefix:
First Name:KRISTIE
Middle Name:MICHELLE
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:ARPN
Other - Prefix:
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Mailing Address - Street 1:15951 LITTLE AXE DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73026-9088
Mailing Address - Country:US
Mailing Address - Phone:405-447-0300
Mailing Address - Fax:405-701-7914
Practice Address - Street 1:2308B W HIGHWAY 66
Practice Address - Street 2:
Practice Address - City:STROUD
Practice Address - State:OK
Practice Address - Zip Code:74079-6729
Practice Address - Country:US
Practice Address - Phone:918-968-1642
Practice Address - Fax:918-987-1622
Is Sole Proprietor?:No
Enumeration Date:2019-07-26
Last Update Date:2024-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK105873363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner