Healthcare Provider Details

I. General information

NPI: 1396046561
Provider Name (Legal Business Name): MELISSA RAE BELANGER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELISSA RAE KEAR APRN

II. Dates (important events)

Enumeration Date: 11/04/2010
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3280 MARSHALL AVE
NORMAN OK
73072-8022
US

IV. Provider business mailing address

3280 MARSHALL AVE
NORMAN OK
73072-8022
US

V. Phone/Fax

Practice location:
  • Phone: 405-579-5858
  • Fax: 405-292-1787
Mailing address:
  • Phone: 405-579-5858
  • Fax: 405-292-1787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number89027
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: