IndividualActive
Myra Mckiddy, R.N.
NPI 1174552095 · Diabetes Educator Registered Nurse · Shawnee, OK
Provider details
- NPI number
- 1174552095
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- No
- License
- 48859 (OK)
Specialties & taxonomies
Nursing Service Providers
Practice location
2307 South Gordon Cooper Drive
Citizen Potawatomi Nation/Firelake Wellness Center
Shawnee, OK 74801
Phone: (405) 395-9303
Fax: (405) 395-9305
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 218
Tecumseh, OK 74873-0218
Registry dates
- Enumerated
- 2006-07-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.