FERNANDO, ANNE DAMAYANTHI ROWENA - Licensee Information

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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT

FERNANDO, ANNE DAMAYANTHI ROWENA

Practice Address:	LITTLE AXE ABSENTEE SHAWNEE HEALTH CENTER 15951 LITTLE AXE DRIVE NORMAN OK 74801 Address last updated on 5/31/2024
Phone #:	(610) 864-1762
Fax #:
County:	CLEVELAND
License:	33980
Dated:	7/6/2018
Expires:	7/1/2025
License Type:	Medical Doctor
Specialty:	Pediatrics

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Colombo, Fac Of Med, Colombo, Sri Lanka
Graduated:	3 / 1985
CME Year:	2027

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Certifications:	AMERICAN BOARD OF PEDIATRICS
New Patients:	Yes
Medicaid:	Yes
Medicare:	No

HMO/PPO:	None listed
Hospital Privileges:	Comanche County Memorial Hospital Lawton, OK

Locations:	Hours:	Languages:
LITTLE AXE ABSENTEE SHAWNEE HEALTH CENTER 15951 LITTLE AXE DRIVE NORMAN OK 74801 Phone #: (610) 864-1762 Fax #:	Mon: 8:00AM - 0:00AM Tue: 8:00AM - 0:00PM Wed: 8:00AM - 0:00PM Thu: 8:00AM - 0:00PM Fri: 8:00AM - 0:00PM Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
DANA HULBERT	APRN	78823
LAUREN KRIEG	APRN	72681