IndividualActive
Amber Shafer, LPN
NPI 1366017675 · Licensed Practical Nurse · Vinita, OK
Provider details
- NPI number
- 1366017675
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- L0060612 (OK)
Specialties & taxonomies
Nursing Service Providers
Practice location
405 E Excelsior Ave
Vinita, OK 74301-4226
Phone: (918) 256-6476
Fax: (918) 256-3628
Approximate (ZIP-level) locationGet directions
Mailing address
405 E Excelsior Ave
Vinita, OK 74301-4226
Registry dates
- Enumerated
- 2021-05-20
- Last updated
- 2021-05-20
- Certified
- 2021-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.