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MARIA GABRIELLA PRUDHOMME NP NPI 1710396718


NPI Information

NPI: 1710396718
Provider Name: MARIA GABRIELLA PRUDHOMME, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1000 NE 13TH ST # 1C
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-6110
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Maria Gabriella Prudhomme, NP is a family nurse practitioner in Oklahoma City, OK with 10 years of experience. Maria Gabriella Prudhomme, NP NPI is 1710396718. 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:

1000 NE 13TH ST # 1C
OKLAHOMA CITY, OK
ZIP 73104-040
Phone: (405) 271-6110

The NPI 1710396718 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Tangential biopsy of additional skin lesion (HCPCS:11103)

The enumeration date for this NPI number is 8/5/2014 and was last updated on 3/21/2023.


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
1363L00000XNurse PractitionerRN213432GEORGIANo
2363L00000XNurse Practitioner1067064TEXASNo
3363LF0000XNurse PractitionerFamilyRN213432GEORGIANo
4363LF0000XNurse PractitionerFamily1067064TEXASNo
5363LF0000XNurse PractitionerFamily210652OKLAHOMAYes

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

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.