MEDICARE: TREVOR CHRISTOPHER NEERING APRN-CNP

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
1	363L00000X	Nurse Practitioner	202227	OK

General Provider Information

NPI Number	:	1790351328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TREVOR CHRISTOPHER NEERING APRN-CNP

Provider Business Mailing Address
First Line	:	1140 NW 57TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-1224
Country	:	US
Telephone Number	:	405-370-9663
Fax Number	:	405-516-8447

Provider Business Practice Location Address
First Line	:	1601 SW 89TH ST STE D100
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-6378
Country	:	US
Telephone Number	:	405-546-7888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2021
Last Update Date	:	04/02/2026

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Directions to “ TREVOR CHRISTOPHER NEERING APRN-CNP” Practice Location

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