MS. MARY ANNE SECRIST MS RN CNS NPI 1962401653

NPI Information

NPI: 1962401653
Provider Name: MS. MARY ANNE SECRIST, MS, RN, CNS
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
4720 S WESTERN AVE
OKLAHOMA CITY, OK
ZIP 73109
Phone: (405) 634-5529
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MS. Mary Anne Secrist, MS, RN, CNS is a psychiatric/mental health clinical nurse specialist in Oklahoma City, OK. MS. Mary Anne Secrist, MS, RN, CNS NPI is 1962401653. 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:

4720 S WESTERN AVE
OKLAHOMA CITY, OK
ZIP 73109-834
Phone: (405) 634-5529
Fax: (405) 636-1673

The NPI 1962401653 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/15/2005 and was last updated on 7/8/2007.

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	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	R0026857	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	Other Provider Identifier Issuer
1	R0026857	OTHER	OKLAHOMA	RN LICENSE

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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