| Norman Psychiatry Aprn-cnp Pllc | |
|
2201 Westpark Dr Norman OK 73069-4012 | |
| (405) 579-1111 | |
| (405) 579-4223 |
| Full Name | Norman Psychiatry Aprn-cnp Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2201 Westpark Dr, Norman, Oklahoma |
| Authorized Official Name and Position | Amber C Davis (OFFICE MANAGER) |
| Authorized Official Contact | 4055794111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norman Psychiatry Aprn-cnp Pllc 2201 Westpark Dr Norman OK 73069-4012 Ph: (405) 579-4111 | Norman Psychiatry Aprn-cnp Pllc 2201 Westpark Dr Norman OK 73069-4012 Ph: (405) 579-1111 |
| NPI Number | 1043728587 |
|---|---|
| Provider Enumeration Date | 01/18/2018 |
| Last Update Date | 01/13/2020 |
| Certification Date | 01/13/2020 |
| Medicare PECOS PAC ID | 3971866484 |
|---|---|
| Medicare Enrollment ID | O20180416002406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043728587 | NPI | - | NPPES |
| 200485210 | Medicaid | OK | |
| 200768730 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Joseph Ripperger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578510244 PECOS PAC ID: 8224019708 Enrollment ID: I20120404000289 |
| Provider Name | Nicole Lee Bush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538435169 PECOS PAC ID: 3971766932 Enrollment ID: I20120531000625 |
| Provider Name | Amy M Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629370291 PECOS PAC ID: 5799931622 Enrollment ID: I20120809000108 |
| Provider Name | Laura Jean Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629520937 PECOS PAC ID: 8820365323 Enrollment ID: I20170606000050 |
| Provider Name | Oshani D Pieris-steelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841711488 PECOS PAC ID: 0941556823 Enrollment ID: I20180706002115 |
| Provider Name | Nicole Holzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164976783 PECOS PAC ID: 9234426479 Enrollment ID: I20230718000024 |
| Provider Name | Robert Montgomery Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083746903 PECOS PAC ID: 2567813595 Enrollment ID: I20240103004757 |
| Provider Name | Brooke E Braziel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689019713 PECOS PAC ID: 1557713880 Enrollment ID: I20240122004412 |
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