Healthcare Provider Details

I. General information

NPI: 1437530664
Provider Name (Legal Business Name): MINDY MCBRIEN FNP-C, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2015
Last Update Date: 02/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 W CENTRAL AVE
MIAMI OK
74354
US

IV. Provider business mailing address

5300 N INDEPENDENCE AVE STE 280
OKLAHOMA CITY OK
73112-5555
US

V. Phone/Fax

Practice location:
  • Phone: 918-542-3900
  • Fax: 918-542-3928
Mailing address:
  • Phone: 918-542-3900
  • Fax: 918-542-3928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number69037
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: