Healthcare Provider Details

I. General information

NPI: 1669792164
Provider Name (Legal Business Name): SARAH ELIZABETH MILLER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH ELIZABETH WELTE APRN

II. Dates (important events)

Enumeration Date: 06/07/2010
Last Update Date: 05/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 NE 10TH ST STE 2500
OKLAHOMA CITY OK
73104
US

IV. Provider business mailing address

800 NE 10TH ST STE 2500
OKLAHOMA CITY OK
73104-5418
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-8299
  • Fax: 405-271-7387
Mailing address:
  • Phone: 405-271-8299
  • Fax: 405-271-7387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number78821
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: