Organization · Type 2 NPI
Renaissance Health LLC
Adult Health Nurse Practitioner · Oklahoma City, OK
NPI number
1104772482
Active
Practice location
3621 NW 63rd St Ste E
Oklahoma City, OK 73116-2041
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
Other adult health nurse practitioner providers in Oklahoma City
About NPI 1104772482
Renaissance Health LLC's National Provider Identifier is 1104772482, issued on Mar 9, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Oklahoma City, OK. The record was last updated on May 11, 2026.