Organization
BLUEGRACE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BARNES (ADMINISTRATOR)
(405) 287-8133
Entity
Organization
Contact information
Practice address
7307 N MACARTHUR BLVD STE 300, WARR ACRES, OK 73132-5731
(405) 287-8133
Mailing address
PO BOX 54341, OKLAHOMA CITY, OK 73154-1341
(405) 287-8133
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
364S00000X
Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
03/19/2022
Last updated
06/02/2022
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