Healthcare Provider Details

I. General information

NPI: 1881178044
Provider Name (Legal Business Name): AUDRICK YEE DNP, APRN-CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2018
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S CASTLEROCK LN
MUSTANG OK
73064-4584
US

IV. Provider business mailing address

2324 NW 46TH ST
OKLAHOMA CITY OK
73112-8339
US

V. Phone/Fax

Practice location:
  • Phone: 405-256-6000
  • Fax: 405-256-6001
Mailing address:
  • Phone: 520-208-1221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95009948
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number205227
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: