MEDICARE: HEAL CITY HEALTH AND WELLNESS

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

General Provider Information

NPI Number	:	1780531624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAL CITY HEALTH AND WELLNESS

Provider Business Mailing Address
First Line	:	4200 CARRIAGE WAY
Second Line	:
City	:	WEATHERFORD
State	:	OK
Zip	:	73096-9614
Country	:	US
Telephone Number	:	405-814-1915
Fax Number	:	405-814-1951

Provider Business Practice Location Address
First Line	:	4200 CARRIAGE WAY
Second Line	:
City	:	WEATHERFORD
State	:	OK
Zip	:	73096-9614
Country	:	US
Telephone Number	:	405-814-1915
Fax Number	:	405-814-1951

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	OLAIDE OLUFUNMILAYO OWOLOYE
Credential	:	APRN,FNP-C, FMACP
Telephone Number	:	405-814-1915

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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Directions to “HEAL CITY HEALTH AND WELLNESS ” Practice Location

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