Provider Demographics
NPI:1588761555
Name:SCEARCE, AUDRA C (DO)
Entity type:Individual
Prefix:DR
First Name:AUDRA
Middle Name:C
Last Name:SCEARCE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3548 WELLSITE DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-8221
Mailing Address - Country:US
Mailing Address - Phone:405-366-6050
Mailing Address - Fax:405-366-3110
Practice Address - Street 1:3548 WELLSITE DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-8221
Practice Address - Country:US
Practice Address - Phone:405-366-6050
Practice Address - Fax:405-366-3110
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK36962084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100102030AMedicaid
OK100102030AMedicaid