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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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GRAVES, AMANDA NICOLE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: PROVIDENCE MEDICAL CENTER
3300 PROVIDENCE DR
ANCHORAGE AK 99508

Address last updated on 4/9/2021
Phone #: (907) 562-2211
Fax #:
County: NOT OKLAHOMA
License: 5412
Dated: 11/23/2021
Expires: 11/30/2023
License Type: Respiratory Care Practitioner
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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.
Locations: Hours: Languages:
PROVIDENCE MEDICAL CENTER
3300 PROVIDENCE DR
ANCHORAGE AK 99508

Phone #: (907) 562-2211
Fax #:

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