Healthcare Provider Details

I. General information

NPI: 1366379737
Provider Name (Legal Business Name): FRANCESCA ELYSE FLUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 E 147TH ST S UNIT A
GLENPOOL OK
74033-3913
US

IV. Provider business mailing address

270 E 147TH ST S UNIT A
GLENPOOL OK
74033-3913
US

V. Phone/Fax

Practice location:
  • Phone: 918-771-8020
  • Fax:
Mailing address:
  • Phone: 918-771-8020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: