Healthcare Provider Details

I. General information

NPI: 1467369124
Provider Name (Legal Business Name): LESLIE ELAINE OATES ARNP-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15112 TRADITIONS BLVD STE A
EDMOND OK
73013-1182
US

IV. Provider business mailing address

15112 TRADITIONS BLVD STE A
EDMOND OK
73013-1182
US

V. Phone/Fax

Practice location:
  • Phone: 405-289-0483
  • Fax: 405-266-6609
Mailing address:
  • Phone: 405-289-0483
  • Fax: 405-266-6609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number216338
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: