=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588299499
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NATASHA D MCFALLS APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/11/2020
-----------------------------------------------------
Last Update Date | 11/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3325 S BOULEVARD STE 113
-----------------------------------------------------
City | EDMOND
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73013-4812
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-330-7000
-----------------------------------------------------
Fax | 405-330-7075
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 601 S HARBOUR ISLAND BLVD STE 200
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33602-5925
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-322-3439
-----------------------------------------------------
Fax | 800-928-7449
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | 76254
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 76254
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------