Healthcare Provider Details

I. General information

NPI: 1255975793
Provider Name (Legal Business Name): CYNTHIA HAMES FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2019
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13400 CHAPARRAL RD
NORMAN OK
73026-8735
US

IV. Provider business mailing address

13400 CHAPARRAL RD
NORMAN OK
73026-8735
US

V. Phone/Fax

Practice location:
  • Phone: 405-248-6056
  • Fax:
Mailing address:
  • Phone: 405-248-6056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number104872
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number104872
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number104872
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: