Healthcare Provider Details

I. General information

NPI: 1760894695
Provider Name (Legal Business Name): AMBER NICOLE ERBEN APRN-CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER NICOLE DRAPER APRN-CNS

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 06/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 W MEMORIAL RD
OKLAHOMA CITY OK
73120
US

IV. Provider business mailing address

4300 W MEMORIAL RD
OKLAHOMA CITY OK
73120-8304
US

V. Phone/Fax

Practice location:
  • Phone: 405-755-1515
  • Fax: 405-752-3963
Mailing address:
  • Phone: 405-755-1515
  • Fax: 405-752-3963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number103147
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number103147
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: