Provider Demographics
NPI:1649684531
Name:FLORA, SARAH (APRN-CNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FLORA
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1139 36TH AVE NW STE 100
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4104
Mailing Address - Country:US
Mailing Address - Phone:405-217-9997
Mailing Address - Fax:405-307-8520
Practice Address - Street 1:1139 36TH AVE NW STE 100
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-4104
Practice Address - Country:US
Practice Address - Phone:405-217-9997
Practice Address - Fax:405-307-8520
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK73216363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily