MINUTECLINIC DIAGNOSTIC OF OKLAHOMA LLC NPI 1285765727

NPI Information

NPI: 1285765727
Provider Name: MINUTECLINIC DIAGNOSTIC OF OKLAHOMA LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 37D2227897

Address:
1520 S BRYANT AVE
EDMOND, OK
ZIP 73013
Phone: (866) 389-2727
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MINUTECLINIC DIAGNOSTIC OF OKLAHOMA LLC is a family nurse practitioner in Edmond, OK. MINUTECLINIC DIAGNOSTIC OF OKLAHOMA LLC NPI is 1285765727. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1520 S BRYANT AVE
EDMOND, OK
ZIP 73013-028
Phone: (866) 389-2727
Fax: (401) 652-9787

The provider's authorized official is Deborah Pincince .
The authorized official title is Administrator and has the following contact phone number (401) 770-3813.

The CLIA number assigned to this NPI record is 37D2227897 - other - limited srvc hlth care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 3/5/2020.

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	363LF0000X	Nurse Practitioner	Family			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	DO1961	OTHER	OKLAHOMA	MEDICARE RAILROAD

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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