Healthcare Provider Details

I. General information

NPI: 1023509361
Provider Name (Legal Business Name): FARAHNEZ WEIR-CASWELL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2018
Last Update Date: 05/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 ALAMEDA ST BLDG C
NORMAN OK
73071-5229
US

IV. Provider business mailing address

2709 RED FISH RD
NORMAN OK
73069-9649
US

V. Phone/Fax

Practice location:
  • Phone: 405-573-3955
  • Fax:
Mailing address:
  • Phone: 405-885-5970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberR0110552
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: