Healthcare Provider Details

I. General information

NPI: 1558856435
Provider Name (Legal Business Name): COURTNEY DAHI APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2018
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N. BRYANT STE. 120
EDMOND OK
73034
US

IV. Provider business mailing address

200 N. BRYANT STE. 120
EDMOND OK
73034
US

V. Phone/Fax

Practice location:
  • Phone: 405-832-6881
  • Fax: 833-941-1685
Mailing address:
  • Phone: 405-832-6881
  • Fax: 833-941-1685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number109395
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: