Healthcare Provider Details

I. General information

NPI: 1205857299
Provider Name (Legal Business Name): MEGHAN MURPHY VAN CAMP RDN, LD, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGHAN FRANCES MURPHY RD, LD/N

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 08/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 NW 72ND ST STE 200
WARR ACRES OK
73132
US

IV. Provider business mailing address

5601 NW 72ND ST STE 200
WARR ACRES OK
73132-5920
US

V. Phone/Fax

Practice location:
  • Phone: 405-603-1941
  • Fax: 405-603-1942
Mailing address:
  • Phone: 405-603-1941
  • Fax: 405-603-1942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1977
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberND4278
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: