Provider Demographics
NPI:1689471161
Name:STOOPS, GEORGEANN TREVA (RN)
Entity type:Individual
Prefix:
First Name:GEORGEANN
Middle Name:TREVA
Last Name:STOOPS
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8306 S SILVER RDG
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-6654
Mailing Address - Country:US
Mailing Address - Phone:918-625-0013
Mailing Address - Fax:
Practice Address - Street 1:8306 S SILVER RDG
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-6654
Practice Address - Country:US
Practice Address - Phone:918-625-0013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0068589163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine