Healthcare Provider Details

I. General information

NPI: 1104653617
Provider Name (Legal Business Name): MELISSA MARGARET LEVEN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA MARGARET BELL

II. Dates (important events)

Enumeration Date: 09/18/2024
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 S WESTERN RD
STILLWATER OK
74074-6899
US

IV. Provider business mailing address

1311 S WESTERN RD
STILLWATER OK
74074-6899
US

V. Phone/Fax

Practice location:
  • Phone: 405-533-4500
  • Fax: 405-533-4510
Mailing address:
  • Phone: 405-533-4500
  • Fax: 405-533-4510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number220321
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: