Healthcare Provider Details

I. General information

NPI: 1881136695
Provider Name (Legal Business Name): TAYLOR SNAPP NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2016
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2017 W I 35 FRONTAGE RD
EDMOND OK
73013-8504
US

IV. Provider business mailing address

6929 E 15TH ST
EDMOND OK
73013-8674
US

V. Phone/Fax

Practice location:
  • Phone: 405-757-3710
  • Fax: 405-757-3711
Mailing address:
  • Phone: 225-328-2605
  • Fax: 405-757-3711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number99462
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: