Healthcare Provider Details

I. General information

NPI: 1447545546
Provider Name (Legal Business Name): MEAGAN WHISENANT RN, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2011
Last Update Date: 06/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2919 S DIVISION ST
GUTHRIE OK
73044-6806
US

IV. Provider business mailing address

4717 VALLEY PARK
EDMOND OK
73025-2095
US

V. Phone/Fax

Practice location:
  • Phone: 405-282-8383
  • Fax: 405-282-6790
Mailing address:
  • Phone: 405-285-9358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR99785
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: