Organization · Type 2 NPI

Saint Medical Group, LLC

Nurse Practitioner · Oklahoma City, OK

NPI number 1699358317 Active

Practice location

11501 N Rockwell Ave
Oklahoma City, OK 73162-2732

Fax (405) 578-3382

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Nurse Practitioner Primary	363L00000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Another provider at this address

Saint Medical Group, LLCFamily Medicine Physician Oklahoma City, OK NPI 1881270114

Other nurse practitioner providers in Oklahoma City

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NPI record

NPI: 1699358317
Entity type: Organization (Type 2)
Issued: Apr 30, 2021
Last updated: Apr 30, 2021
Status: Active
Subpart: Yes of SSM Healthcare of Ok, Inc

Other names

SSM Health Healthy Living Okc Clinic · doing business as

Authorized official

Crystal L Pena
Provider Enrollment Coordinator
(405) 272-7452

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1699358317

Saint Medical Group, LLC's National Provider Identifier is 1699358317, issued on Apr 30, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 30, 2021.