Provider Demographics
NPI:1033951363
Name:SCHURTER, MARY GRACE DEBORAH BELFORD BONE (NP-C)
Entity type:Individual
Prefix:
First Name:MARY GRACE
Middle Name:DEBORAH BELFORD BONE
Last Name:SCHURTER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9003 N GARNETT RD
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-4495
Mailing Address - Country:US
Mailing Address - Phone:918-272-2882
Mailing Address - Fax:
Practice Address - Street 1:9003 N GARNETT RD
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-4495
Practice Address - Country:US
Practice Address - Phone:918-272-2882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95057196363LF0000X
OK217358363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily