RECLAIM WELLNESS LLC NPI 1508503152

NPI Information

  • NPI: 1508503152
  • Provider Name: RECLAIM WELLNESS LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: RECLAIM WELLNESS
  • Address: 10932 NW EXPRESSWAY STE C
    YUKON, OK
    ZIP 73099
  • Phone: (405) 570-1010

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NPI Details

RECLAIM WELLNESS LLC is a family nurse practitioner in Yukon, OK. RECLAIM WELLNESS LLC NPI is 1508503152. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Reclaim Wellness.

The provider's business location address is:

10932 NW EXPRESSWAY STE C
YUKON, OK
ZIP 73099-764
Phone: (405) 570-1010
Fax: (949) 660-5841

The provider's authorized official is Tracye Fowler .
The authorized official title is Provider Owner and has the following contact phone number (405) 819-5884.

The enumeration date for this NPI number is 5/16/2022 and was last updated on 9/6/2022.

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

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
1200657160MEDICAIDOKLAHOMA

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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