Healthcare Provider Details

I. General information

NPI: 1689984452
Provider Name (Legal Business Name): CHRISTOPHER BRAD REDDEN NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2010
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 S COUNTRY CLUB RD
EL RENO OK
73036-5427
US

IV. Provider business mailing address

1900 S COUNTRY CLUB RD
EL RENO OK
73036-5427
US

V. Phone/Fax

Practice location:
  • Phone: 405-295-2900
  • Fax: 405-295-2905
Mailing address:
  • Phone: 405-990-5072
  • Fax: 405-295-2425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number76189
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: