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STACEY AMANDA LYTLE APRN-CNP NPI 1265989982


NPI Information

NPI: 1265989982
Provider Name: STACEY AMANDA LYTLE, APRN-CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MERCY CLINIC OKLAHOMA COMMUNITIES

PECOS Registration: Yes

Address:
4140 W MEMORIAL RD
SUITE 215
OKLAHOMA CITY, OK
ZIP 73120
Phone: (405) 242-4030
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Stacey Amanda Lytle, APRN-CNP is a family nurse practitioner in Oklahoma City, OK with 8 years of experience. Stacey Amanda Lytle, APRN-CNP NPI is 1265989982. 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:

4140 W MEMORIAL RD
SUITE 215
OKLAHOMA CITY, OK
ZIP 73120-366
Phone: (405) 242-4030
Fax: (405) 242-4031

The NPI 1265989982 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 9/10/2016 and was last updated on 10/6/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily102245OKLAHOMAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.