NPI 1164039632 · live from the CMS NPI Registry
Axiom Medical Solutions, LLC
Nurse Practitioner, Family in Oklahoma City, OK. National Provider Identifier 1164039632, active.
NPI record
| NPI | 1164039632 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 14132 Se 134th St, Oklahoma City, OK 73165 |
| Practice phone | 405-615-3245 |
| Enumerated | September 28, 2020 |
| Last updated | September 28, 2020 |
| Authorized official | Steven Braudway, Owner |
| Other names | Ams |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Nurse Practitioner, Family primary | 363LF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.