Basic Information
| Provider Information | |||||||||
| NPI: | 1114460664 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AUFFET | ||||||||
| FirstName: | LOIS | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | RR 6 BOX 640 | ||||||||
| Address2: | |||||||||
| City: | STILWELL | ||||||||
| State: | OK | ||||||||
| PostalCode: | 749608700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9186968846 | ||||||||
| FaxNumber: | 9186968840 | ||||||||
| Practice Location | |||||||||
| Address1: | RR 6 BOX 640 | ||||||||
| Address2: | |||||||||
| City: | STILWELL | ||||||||
| State: | OK | ||||||||
| PostalCode: | 749608700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9186968846 | ||||||||
| FaxNumber: | 9186968840 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2016 | ||||||||
| LastUpdateDate: | 11/30/2016 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 31768 | OK | Y | Nursing Service Providers | Registered Nurse |
No ID Information.