Healthcare Provider Details

I. General information

NPI: 1962323204
Provider Name (Legal Business Name): ABENA MENSAH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N LEE AVE
OKLAHOMA CITY OK
73102-1036
US

IV. Provider business mailing address

1909 MASON LN
OKLAHOMA CITY OK
73127-3217
US

V. Phone/Fax

Practice location:
  • Phone: 405-272-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number230598
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: