Healthcare Provider Details

I. General information

NPI: 1457812752
Provider Name (Legal Business Name): AMBER GARRETSON APRN, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 N MAY AVE STE 310
OKLAHOMA CITY OK
73112-4291
US

IV. Provider business mailing address

5600 N MAY AVE STE 310
OKLAHOMA CITY OK
73112-4291
US

V. Phone/Fax

Practice location:
  • Phone: 855-229-2211
  • Fax: 844-527-9397
Mailing address:
  • Phone: 855-229-2211
  • Fax: 844-527-9397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License NumberR0119887
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: