NPI Code Details Logo

NPI 1801748470

NPI 1801748470 : INFINITY NEXUS LLC : EDMOND, OK

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1801748470
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    INFINITY NEXUS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/13/2026
-----------------------------------------------------
    Last Update Date     |    02/13/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3209 S BROADWAY STE 242 
-----------------------------------------------------
    City                 |    EDMOND
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    73013-4061
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    572-271-3917
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3209 S BROADWAY STE 242 
-----------------------------------------------------
    City                 |    EDMOND
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    73013-4061
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    572-271-3917
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     VERLINDA  JOHNSON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    572-271-3917
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.