MEDICARE: DR. YOMBI MELANIE VALENTINE NGOUANYO TAPONNO 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
1	363LF0000X	Family Nurse Practitioner	95274	OK

General Provider Information

NPI Number	:	1588101596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YOMBI MELANIE VALENTINE NGOUANYO TAPONNO APRN

Provider Business Mailing Address
First Line	:	5300 N MERIDIAN AVE STE 8
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2137
Country	:	US
Telephone Number	:	405-768-2121
Fax Number	:	405-768-2232

Provider Business Practice Location Address
First Line	:	5300 N MERIDIAN AVE STE 8
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2137
Country	:	US
Telephone Number	:	405-768-2121
Fax Number	:	405-768-2232

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

Provider Enumeration Date	:	01/28/2017
Last Update Date	:	02/11/2026

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