Provider Demographics
NPI:1730214388
Name:WEATHERFORD, DEBRA MAE (BSN, ARNP, CNSS)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:MAE
Last Name:WEATHERFORD
Suffix:
Gender:F
Credentials:BSN, ARNP, CNSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:825 NE 10TH ST
Mailing Address - Street 2:SUITE 5200
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5417
Mailing Address - Country:US
Mailing Address - Phone:405-271-3635
Mailing Address - Fax:405-271-2523
Practice Address - Street 1:1122 NE 13TH ST
Practice Address - Street 2:ORI 274
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73117-1039
Practice Address - Country:US
Practice Address - Phone:405-271-1515
Practice Address - Fax:405-271-1001
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2014-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OKR0028057163WE0003X, 364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No163WE0003XNursing Service ProvidersRegistered NurseEmergency