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NPI Code Detail

MEDICARE: DR. NADINE TOUAYEM MBOU APRN-DNP

MEDICARE:  DR. NADINE TOUAYEM MBOU  APRN-DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner107895OK

General Provider Information

NPI Number : 1700302072
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NADINE TOUAYEM MBOU APRN-DNP
Provider Business Mailing Address
First Line : 5300 N MERIDIAN AVE STE 10F
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-2179
Country : US
Telephone Number : 405-413-1826
Fax Number :
Provider Business Practice Location Address
First Line : 5300 N MERIDIAN AVE STE 10F
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-2179
Country : US
Telephone Number : 405-413-1826
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2017
Last Update Date : 02/20/2026

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