IndividualActive
Stacy Boothe, CNS
NPI 1114964913 · Clinical Nurse Specialist · Norman, OK
Provider details
- NPI number
- 1114964913
- Entity type
- Individual
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNS
- Sex
- Female
- Sole proprietor
- No
- License
- R0072509 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3500 Healthplex Pkwy
Suite 200
Norman, OK 73072-9738
Phone: (405) 515-2222
Fax: (405) 515-2251
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1330
Norman, OK 73070-1330
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2014-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.