NPI 1235642497 · live from the CMS NPI Registry
Michael Eugene Conner, RN
Registered Nurse, General Practice in Oklahoma City, OK. National Provider Identifier 1235642497, active.
NPI record
| NPI | 1235642497 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 921 Ne 13th St, Oklahoma City, OK 73104 |
| Practice phone | 405-456-5607 |
| Mailing address | 1008 S Ellison Ave, El Reno, OK 73036 |
| Enumerated | November 9, 2017 |
| Last updated | November 9, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider, Independent Duty Medical Technicians | 1710I1003X | — |
| Ambulance, Land Transport | 3416L0300X | — |
| Emergency Medical Technician, Intermediate | 146M00000X | 28283 (OK) |
| Registered Nurse, General Practice primary | 163WG0000X | 126799 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.