Healthcare Provider Details

I. General information

NPI: 1245740968
Provider Name (Legal Business Name): DANIEL WILLIAMSON ARNP-CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2017
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 N PORTER AVE STE 101
NORMAN OK
73071-6443
US

IV. Provider business mailing address

1125 N PORTER AVE STE 101
NORMAN OK
73071-6443
US

V. Phone/Fax

Practice location:
  • Phone: 405-217-9997
  • Fax: 405-307-8520
Mailing address:
  • Phone: 405-217-9997
  • Fax: 405-307-8520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number109001
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: