Individual provider · Type 1 NPI

Cameron Keith Ethridge, APRN

Nurse Practitioner · Stroud, OK

NPI number 1902361413 Active

Practice location

2308B W Highway 66
Stroud, OK 74079-6729

Fax (918) 987-1622

Mailing address

PO Box 777
Stroud, OK 74079-0777

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X121857 (OK)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1902361413

Cameron Keith Ethridge, APRN's National Provider Identifier is 1902361413, issued on Feb 8, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stroud, OK. The record was last updated on Sep 30, 2020.