IndividualActive
Angela Shupert, RN
NPI 1366153496 · Psychiatric/Mental Health Registered Nurse · Heavener, OK
Provider details
- NPI number
- 1366153496
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0112203 (OK)
Specialties & taxonomies
Nursing Service Providers
Practice location
511 E 2nd St
Heavener, OK 74937-3419
Phone: (918) 653-7718
Approximate (ZIP-level) locationGet directions
Mailing address
20361 Pine Mtn Loop
Heavener, OK 74937-3679
Registry dates
- Enumerated
- 2022-12-09
- Last updated
- 2022-12-09
- Certified
- 2022-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.