Provider Demographics
NPI:1770988859
Name:COWART, SHEILA A (RN)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:A
Last Name:COWART
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:5400 N INDEPENDENCE AVE
Mailing Address - Street 2:STE 150
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5310
Mailing Address - Country:US
Mailing Address - Phone:405-947-3341
Mailing Address - Fax:405-917-3542
Practice Address - Street 1:3433 NW 56TH ST
Practice Address - Street 2:STE 660
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4455
Practice Address - Country:US
Practice Address - Phone:405-947-3341
Practice Address - Fax:405-917-3542
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-30
Last Update Date:2015-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OKR0056848163WE0003X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK394437YSGZMedicare UPIN