Individual
MISS CHRISTY GREENLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1111 N LEE AVE STE 310, OKLAHOMA CITY, OK 73103-2620
(405) 272-4978
Mailing address
1111 N LEE AVE STE 310, OKLAHOMA CITY, OK 73103-2620
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201907439NP-PP
OR
363L00000X
Nurse Practitioner
26NR20882900
NJ
363LF0000X
Family Nurse Practitioner
95862
OK
363LF0000X
Family Nurse Practitioner
AP60909274
WA
363LF0000X
Family Nurse Practitioner
C-APN.0001242-C-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200532560A
—
OK
05
—
393455601
—
TX
05
—
9000167356
—
CO
Enumeration date
01/14/2014
Last updated
12/26/2019
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