Provider Demographics
NPI:1528263845
Name:FOUTS, ROSEMARY ANN (ARNP)
Entity type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:ANN
Last Name:FOUTS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ROSEMARY
Other - Middle Name:
Other - Last Name:FOUTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1800 S DOUGLAS BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-6224
Mailing Address - Country:US
Mailing Address - Phone:405-733-4985
Mailing Address - Fax:405-737-4041
Practice Address - Street 1:1800 S DOUGLAS BLVD
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-6224
Practice Address - Country:US
Practice Address - Phone:405-733-4985
Practice Address - Fax:405-737-4041
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0029107363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner