Organization · Type 2 NPI

Total Vitality LLC

Adult Health Nurse Practitioner · Choctaw, OK

NPI number 1235083791 Active

Practice location

12832 E Reno Ave
Choctaw, OK 73020-7607

Fax (405) 754-2199

Mailing address

PO Box 30483
Midwest City, OK 73140-3483

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1235083791

Total Vitality LLC's National Provider Identifier is 1235083791, issued on Feb 23, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Choctaw, OK. The record was last updated on Sep 4, 2026.