NPI 1710778766 · live from the CMS NPI Registry
Benjamin C Edwards, RN
Registered Nurse, Psych/Mental Health, Adult in Tulsa, OK. National Provider Identifier 1710778766, active.
NPI record
| NPI | 1710778766 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 8921 S Mingo Rd, Tulsa, OK 74133 |
| Practice phone | 918-577-3699 |
| Mailing address | 13602 E 90th Ct N, Owasso, OK 74055 |
| Enumerated | May 16, 2025 |
| Last updated | May 16, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | 91198 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.