Most Relevant Information
Provider Data
| NPI Number: | 1003363250 |
| Provider Name: | HARVEY SHANE ADAMS APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R0077957 |
Most Important Dates
| Enumeration Date: | 09/06/2016 |
| Last Updated: | 10/04/2017 |
Provider Practice Location
12112 GREENLAWN AVE
OKLAHOMA CITY
OK
731704842
Practice Location Phone/Fax
| Phone: | 4058235302 |
| Fax: |
Provider Mailing Location
12112 GREENLAWN AVE
OKLAHOMA CITY
OK
731704842
Provider Mailing Phone/Fax
| Phone: | 4058235302 |
| Fax: |