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General NPI Number Information
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NPI Number | 1689120289
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Entity Type | Organization
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Legal Business Name | OKLAHOMA ADVANCED PRACTICE FAMILY NURSING, PLLC
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 220 SW 89TH ST STE D
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139-8517
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Country | US
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Telephone | 405-839-8005
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Fax | 833-733-0704
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Provider Business Mailing Address
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Address Line | 220 SW 89TH ST STE D
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139-8517
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Country | US
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Telephone | 405-839-8005
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Fax | 833-733-0704
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Authorized Official
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Title or Position | MEMBER
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Name | MICHELLE RENEE STEPHENS
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Credential | APRN
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Telephone | 405-821-7008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R0058331
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License Number State | OK
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