Healthcare Provider Details

I. General information

NPI: 1891005823
Provider Name (Legal Business Name): STACY WEIBLE-TORRES ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STACY TORRES APRN

II. Dates (important events)

Enumeration Date: 10/08/2010
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13921 N MERIDIAN AVE STE 100
OKLAHOMA CITY OK
73134-1106
US

IV. Provider business mailing address

4120 W MEMORIAL RD STE 218
OKLAHOMA CITY OK
73120-9322
US

V. Phone/Fax

Practice location:
  • Phone: 405-752-9600
  • Fax: 405-752-9650
Mailing address:
  • Phone: 405-302-2661
  • Fax: 405-302-2670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR95222
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: