Healthcare Provider Details

I. General information

NPI: 1245096098
Provider Name (Legal Business Name): STEPHANIE BRITT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2024
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 SW 175TH TER
OKLAHOMA CITY OK
73170-7045
US

IV. Provider business mailing address

416 SW 175TH TER
OKLAHOMA CITY OK
73170-7045
US

V. Phone/Fax

Practice location:
  • Phone: 405-706-4930
  • Fax:
Mailing address:
  • Phone: 405-706-4930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberR0102301
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number220339
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: