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NPI Code Detail

MEDICARE: MRS. EMILY SERENA RICHERT APRN

MEDICARE: MRS. EMILY SERENA RICHERT APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner222124OK
2163WC1500XCommunity Health Registered NurseR0133121OK

General Provider Information

NPI Number : 1053126680
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EMILY SERENA RICHERT APRN
Provider Business Mailing Address
First Line : 13100 COLONYPOINTE BLVD STE 103
Second Line :
City : PIEDMONT
State : OK
Zip : 73078-8828
Country : US
Telephone Number : 405-596-8796
Fax Number :
Provider Business Practice Location Address
First Line : 4117 NW 122ND ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-8869
Country : US
Telephone Number : 405-463-3380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2025
Last Update Date : 03/21/2026

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