Healthcare Provider Details

I. General information

NPI: 1730137613
Provider Name (Legal Business Name): NANCY ANN BROWN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 03/07/2023
Certification Date: 08/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2424 SPRINGER DR STE 107
NORMAN OK
73069-3966
US

IV. Provider business mailing address

2424 SPRINGER DR STE 107
NORMAN OK
73069-3966
US

V. Phone/Fax

Practice location:
  • Phone: 405-364-8501
  • Fax: 405-364-8535
Mailing address:
  • Phone: 405-364-8501
  • Fax: 405-364-8535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number2849
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: