MRS. BRENDA ELDER A.R.N.P. NPI 1558358655

NPI Information

NPI: 1558358655
Provider Name: MRS. BRENDA ELDER, A.R.N.P.
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
1001 SO. 41ST ST. EAST
MUSKOGEE, OK
ZIP 74403
Phone: (918) 687-0201
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MRS. Brenda Elder, A.R.N.P. is a primary care nurse practitioner in Muskogee, OK. MRS. Brenda Elder, A.R.N.P. NPI is 1558358655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1001 SO. 41ST ST. EAST
MUSKOGEE, OK
ZIP 74403-404
Phone: (918) 687-0201
Fax: (918) 687-0665

The enumeration date for this NPI number is 10/4/2005 and was last updated on 3/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	R0051899	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	8EZ80B	MEDICARE UPIN	OKLAHOMA
2	8EZ12W	MEDICARE UPIN	OKLAHOMA
3	8EZ11W	MEDICARE UPIN	OKLAHOMA
4	8EZ10W	MEDICARE UPIN	OKLAHOMA
5	8EZ08W	MEDICARE UPIN	OKLAHOMA
6	1751899	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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