Healthcare Provider Details

I. General information

NPI: 1699102616
Provider Name (Legal Business Name): BRANDIE STRANGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2013
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13833 TECHNOLOGY DR STE A
OKLAHOMA CITY OK
73134-1019
US

IV. Provider business mailing address

13833 TECHNOLOGY DR STE A
OKLAHOMA CITY OK
73134-1019
US

V. Phone/Fax

Practice location:
  • Phone: 405-840-3793
  • Fax: 405-840-3794
Mailing address:
  • Phone: 405-840-3793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number85539
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number85539
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: