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Search › Oklahoma › 363L00000X

Larry Tevebaugh, NURSE PRACTITIONER

NPI 1619560984 · on the registry since 2021

Practice

Address
4400 Grant Blvd
Yukon, OK 73099
Phone
(405) 830-5574
Organisation at this address
Total Optical Llc
Apex Pharmacy Llc
Rose Foot And Ankle, P.C.
Joshua Smith Md Incorporated
A Path Of Care Home Health Iii, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
163WG0000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-11

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