WANDA KAYE BRAZEAL FPMHNP NPI 1871891861

NPI Information

  • NPI: 1871891861
  • Provider Name: WANDA KAYE BRAZEAL, FPMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 6655 S YALE AVE
    LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL
    TULSA, OK
    ZIP 74136
  • Phone: (918) 491-3700

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NPI Details

Wanda Kaye Brazeal, FPMHNP is a psychiatric/mental health nurse practitioner in Tulsa, OK. Wanda Kaye Brazeal, FPMHNP NPI is 1871891861. 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:

6655 S YALE AVE
LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL
TULSA, OK
ZIP 74136-326
Phone: (918) 491-3700
Fax: (918) 491-5740

The enumeration date for this NPI number is 3/1/2011 and was last updated on 7/28/2011.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health72748OKLAHOMAYes

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
1200329080AMEDICAIDOKLAHOMA
2OKAAA0507MEDICARE PINOKLAHOMA

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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