PREMIER HEALTHCARE APRN-CNP PC NPI 1144847542

NPI Information

NPI: 1144847542
Provider Name: PREMIER HEALTHCARE, APRN-CNP, PC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 37D2194410

Address:
12208 SOUTH WESTERN AVENUE, SUITE B
OKLAHOMA CITY, OK
ZIP 73170
Phone: (405) 201-1333
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PREMIER HEALTHCARE, APRN-CNP, PC is a primary care nurse practitioner in Oklahoma City, OK. PREMIER HEALTHCARE, APRN-CNP, PC NPI is 1144847542. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12208 SOUTH WESTERN AVENUE, SUITE B
OKLAHOMA CITY, OK
ZIP 73170
Phone: (405) 201-1333

The provider's authorized official is Roy M Slootheer .
The authorized official title is President and has the following contact phone number (405) 201-1333.

The CLIA number assigned to this NPI record is 37D2194410 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2020 and was last updated on 12/22/2020.

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			Yes

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: 11/14/2023

NPI Synchronization or Removal

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