Healthcare Provider Details

I. General information

NPI: 1013745579
Provider Name (Legal Business Name): MAGGIE DAWN SEARSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 N VAN BUREN ST STE 500
ENID OK
73703-1813
US

IV. Provider business mailing address

3200 QUAIL SPRINGS PKWY STE 200
OKLAHOMA CITY OK
73134-2699
US

V. Phone/Fax

Practice location:
  • Phone: 405-645-6980
  • Fax: 405-701-9881
Mailing address:
  • Phone: 405-645-6980
  • Fax: 405-701-9881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number226774
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number226774
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: