# UPTOWN MEDICAL CENTER APRN-CNP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UPTOWN MEDICAL CENTER
- **Other names:** Uptown Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811490691
- **Legal business name:** UPTOWN MEDICAL CENTER
- **Authorized official:** MS. PORSHA LYNN RICHARDSON NP (MEMBER)
- **Authorized official phone:** (405) 474-0429

## Contact information

- **Practice address:** 1207 S SUNNYLANE RD, DEL CITY, OK 73115-3011
- **Practice address phone:** (405) 208-4573
- **Practice address fax:** (405) 429-0483
- **Mailing address:** PO BOX 55691, DEL CITY, OK 73155-0691
- **Mailing address phone:** (405) 208-4573
- **Mailing address fax:** (405) 429-0483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 83097 | OK | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | 421072 | NY | — |

## Other

- **Enumeration date:** 03/17/2018
- **Last updated:** 03/17/2018
