Healthcare Provider Details

I. General information

NPI: 1215604681
Provider Name (Legal Business Name): DANIELLE MARIE TALBOTT APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 NW 150TH ST. STE100
OKLAHOMA CITY OK
73120
US

IV. Provider business mailing address

2201 NW 150TH ST. STE 100
OKLAHOMA CITY OK
73120
US

V. Phone/Fax

Practice location:
  • Phone: 405-938-2006
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number202700
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: