WELLNESS REDEFINED NPI 1316656002

NPI Information

  • NPI: 1316656002
  • Provider Name: WELLNESS REDEFINED
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 6800 N WESTERN AVE # 3087
    OKLAHOMA CITY, OK
    ZIP 73116
  • Phone: (405) 602-9395

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NPI Details

WELLNESS REDEFINED is a family nurse practitioner in Oklahoma City, OK. WELLNESS REDEFINED NPI is 1316656002. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6800 N WESTERN AVE # 3087
OKLAHOMA CITY, OK
ZIP 73116-214
Phone: (405) 602-9395

The provider's authorized official is Ebony Coleman .
The authorized official title is Owner and has the following contact phone number (405) 602-9395.

The enumeration date for this NPI number is 11/21/2022 and was last updated on 11/21/2022.

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
1363LF0000XNurse PractitionerFamilyYes

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: 11/21/2025

NPI Synchronization or Removal

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