MEDICARE: NOCTURNA SLEEP THERAPY LP

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	332B00000X	Durable Medical Equipment & Medical Supplies	241767	OK

General Provider Information

NPI Number	:	1891869889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOCTURNA SLEEP THERAPY LP

Provider Business Mailing Address
First Line	:	PO BOX 248855
Second Line	:	DEPT # 32
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73124-8855
Country	:	US
Telephone Number	:	405-285-4914
Fax Number	:	405-285-4914

Provider Business Practice Location Address
First Line	:	3613 NW 56TH ST
Second Line	:	SUITE 101
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4526
Country	:	US
Telephone Number	:	405-917-2329
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	LEWIS P ZEIDNER
Credential	:
Telephone Number	:	763-432-8401

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	01/27/2011

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