MS. MYSTI NICOLE EDGE NPI 1720449457

NPI Information

  • NPI: 1720449457
  • Provider Name: MS. MYSTI NICOLE EDGE
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 3010 NW 41ST ST
    OKLAHOMA CITY, OK
    ZIP 73112
  • Phone: (405) 819-8479

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NPI Details

MS. Mysti Nicole Edge is an addiction (substance use disorder) counselor in Oklahoma City, OK. MS. Mysti Nicole Edge NPI is 1720449457. 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:

3010 NW 41ST ST
OKLAHOMA CITY, OK
ZIP 73112-256
Phone: (405) 819-8479

The enumeration date for this NPI number is 3/8/2016 and was last updated on 3/8/2016.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

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: 3/30/2025

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