Provider Demographics
NPI:1841447877
Name:MCKEE, GEORGIA D (ARNP)
Entity type:Individual
Prefix:
First Name:GEORGIA
Middle Name:D
Last Name:MCKEE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:GEORGIA
Other - Middle Name:D
Other - Last Name:SANDVIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1520 S BRYANT AVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-6028
Mailing Address - Country:US
Mailing Address - Phone:405-348-7982
Mailing Address - Fax:
Practice Address - Street 1:1520 S BRYANT AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-6028
Practice Address - Country:US
Practice Address - Phone:405-348-7982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK96144363LF0000X
IAA-112062363L00000X
OKR 0096144363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1841447877Medicaid
IA1841447877Medicaid