Organization
WELLNESS REDEFINED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY COLEMAN (OWNER)
(405) 602-9395
Entity
Organization
Contact information
Practice address
6800 N WESTERN AVE # 3087, OKLAHOMA CITY, OK 73116-7214
(405) 602-9395
Mailing address
6800 N WESTERN AVE # 3087, OKLAHOMA CITY, OK 73116-7214
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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