Individual provider · Type 1 NPI

Roberta Dehaas

Licensed Practical Nurse · Enid, OK

NPI number 1811210354 Active

Practice location

702 N Grand St
Enid, OK 73701-3221

Call (580) 234-3791 Map

Fax (580) 237-7711

Mailing address

1222 10th St, Suite 211
Woodward, OK 73801-3156

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X33653 (OK)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1811210354

Roberta Dehaas's National Provider Identifier is 1811210354, issued on Mar 11, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Enid, OK. The record was last updated on Mar 11, 2010.