Healthcare Provider Details

I. General information

NPI: 1982495784
Provider Name (Legal Business Name): MELIUS INNOVATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 NE 12TH ST
MOORE OK
73160-5807
US

IV. Provider business mailing address

5729 NW 132ND ST
OKLAHOMA CITY OK
73142-4437
US

V. Phone/Fax

Practice location:
  • Phone: 405-806-8878
  • Fax: 405-806-8878
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CANDICE FINCH
Title or Position: MANAGING PARTNER
Credential:
Phone: 405-446-1085