Healthcare Provider Details

I. General information

NPI: 1316350713
Provider Name (Legal Business Name): ANGELA CHRISTINE YATES-GRIFFIN APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGIE YATES-GRIFFIN

II. Dates (important events)

Enumeration Date: 06/04/2014
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2403 W WRANGLER BLVD STE A
SEMINOLE OK
74868-1900
US

IV. Provider business mailing address

121 N MEKUSUKEY AVE
WEWOKA OK
74884-2117
US

V. Phone/Fax

Practice location:
  • Phone: 580-436-5111
  • Fax: 580-436-1159
Mailing address:
  • Phone: 405-712-0467
  • Fax: 405-257-5463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number43191
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: