Healthcare Provider Details

I. General information

NPI: 1568285575
Provider Name (Legal Business Name): SARA HARM NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2024
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3261 24TH AVE NW STE 101
NORMAN OK
73069-6666
US

IV. Provider business mailing address

3261 24TH AVE NW STE 101
NORMAN OK
73069-6666
US

V. Phone/Fax

Practice location:
  • Phone: 405-364-6432
  • Fax:
Mailing address:
  • Phone: 551-795-1063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number216582
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: