DRAELOS METABOLIC CENTER NPI 1508210816

NPI Information

  • NPI: 1508210816
  • Provider Name: DRAELOS METABOLIC CENTER
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 37D1081252
  • Address: 200 N BRYANT AVE STE 100
    EDMOND, OK
    ZIP 73034
  • Phone: (405) 330-2362

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NPI Details

DRAELOS METABOLIC CENTER is a family nurse practitioner in Edmond, OK. DRAELOS METABOLIC CENTER NPI is 1508210816. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 N BRYANT AVE STE 100
EDMOND, OK
ZIP 73034-273
Phone: (405) 330-2362

The provider's authorized official is Brooke Ashley Henderson .
The authorized official title is Aprn-cnp and has the following contact phone number (405) 240-0709.

The CLIA number assigned to this NPI record is 37D1081252 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2016 and was last updated on 5/18/2016.

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 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

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