Healthcare Provider Details

I. General information

NPI: 1942076187
Provider Name (Legal Business Name): KARIN SAMANTHA NEEDLEMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2023
Last Update Date: 11/29/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 E MAIN ST
NORMAN OK
73071-5300
US

IV. Provider business mailing address

1304 NW 83RD ST
OKLAHOMA CITY OK
73114-1516
US

V. Phone/Fax

Practice location:
  • Phone: 405-360-5100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number212506
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: