IndividualActive
Chasitee Burdine
NPI 1891009312 · Contractor · Prague, OK
Provider details
- NPI number
- 1891009312
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
57533 Moccasin Trail Rd
Prague, OK 74864
Phone: (405) 567-0054
Approximate (ZIP-level) locationGet directions
Mailing address
1201 N Union Ave
Shawnee, OK 74801-5022
Registry dates
- Enumerated
- 2010-07-27
- Last updated
- 2018-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.