Provider Demographics
NPI:1831717396
Name:STENBERG, CAITLIN RAYLYNN (APRN-CNP)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:RAYLYNN
Last Name:STENBERG
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:RAYLYNN
Other - Last Name:O'HAGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 N LINCOLN BLVD STE 3200
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-3252
Mailing Address - Country:US
Mailing Address - Phone:405-271-9448
Mailing Address - Fax:
Practice Address - Street 1:1000 N LINCOLN BLVD STE 3200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-3252
Practice Address - Country:US
Practice Address - Phone:405-271-9448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-10
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK122038363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily