Healthcare Provider Details

I. General information

NPI: 1619022977
Provider Name (Legal Business Name): MICHELLE HUYNH BLUNT ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MINH THU HUYNH APRN

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 EVERETT DR 7TH FLOOR NORTH PAVILION
OKLAHOMA CITY OK
73104-5047
US

IV. Provider business mailing address

1200 EVERETTE DRIVE 7TH FL N. PAVILLION
OKLAHOMA CITY OK
73104-5047
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-5215
  • Fax: 405-271-1236
Mailing address:
  • Phone: 405-271-5215
  • Fax: 405-271-1236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberR0070640
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: