Healthcare Provider Details

I. General information

NPI: 1952223414
Provider Name (Legal Business Name): EMILIA BUCHANAN HART MS, CNS, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMILIA HART MS, CNS, LDN

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2504 FAWN RUN XING
NORMAN OK
73071-9718
US

IV. Provider business mailing address

2504 FAWN RUN XING
NORMAN OK
73071-9718
US

V. Phone/Fax

Practice location:
  • Phone: 405-714-6736
  • Fax:
Mailing address:
  • Phone: 405-714-6736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberDX8721
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: