Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Board of Regents of the University of Oklahoma - Ou Physicians

Organization Pediatric Nurse Practitioner · NPI 1477833523

Board of Regents of the University of Oklahoma - Ou Physicians provides Pediatric Nurse Practitioner services in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2011.

Licensed in
OK
In the registry since
2011

Practice location Address checks out

1200 N Phillips Ave Ste 9500
Oklahoma City, OK 73104-4600 Not confirmed with CMS for 15 years — call before visiting
Phone: (405) 271-5884
Fax: (405) 271-7866
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 81001 (OK)

Record details

NPI number1477833523
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Grunow — Pediatric Gastroenterology Chair · (405) 271-5884
NPI enumeratedAugust 22, 2011
Last updated in NPPESAugust 22, 2011
Mailing address1200 N Phillips Ave, Suite 9500, Oklahoma City, OK 73104-4600

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