SearchOklahoma363LA2100X

Sean Anderson, AGACNP-BC

NPI 1164829057 · on the registry since 2014

Practice

Address
605 S Orchard St
Stillwater, OK 74074
Phone
(405) 780-6650
Fax
(405) 844-0562
Organisation at this address
William Alden Gray Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Also registered as
363LA2200X
363LG0600X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma