Provider Demographics
NPI:1144452558
Name:SAVAGE, SHARALEE (ARNP)
Entity type:Individual
Prefix:
First Name:SHARALEE
Middle Name:
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15214 E 90TH CT N
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-8524
Mailing Address - Country:US
Mailing Address - Phone:918-272-2170
Mailing Address - Fax:
Practice Address - Street 1:15214 E 90TH CT N
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-8524
Practice Address - Country:US
Practice Address - Phone:918-272-2170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0041974363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner