MEDICARE: MR. DAVID WAYNE ARLES APRN-CNP

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
1	363LF0000X	Family Nurse Practitioner	88919	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	R0088919	OTHER	OK	OK BOARD OF NURSING

General Provider Information

NPI Number	:	1538418314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID WAYNE ARLES APRN-CNP

Provider Business Mailing Address
First Line	:	911 HOSPITAL DR
Second Line	:
City	:	SAYRE
State	:	OK
Zip	:	73662-1206
Country	:	US
Telephone Number	:	580-928-5541
Fax Number	:

Provider Business Practice Location Address
First Line	:	911 HOSPITAL DR
Second Line	:
City	:	SAYRE
State	:	OK
Zip	:	73662-1206
Country	:	US
Telephone Number	:	580-928-5541
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2012
Last Update Date	:	11/25/2024

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