Individual
NEIDE ADELINE OPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 727-3000
(405) 727-3007
Mailing address
3001 QUAIL SPRINGS PKWY FL 5, OKLAHOMA CITY, OK 73134-2640
(405) 727-3000
(405) 727-3007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5711
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
09/26/2024
Last updated
02/27/2026
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