Provider Demographics
NPI:1043459944
Name:CURTIS, VERONICA V I (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MISS
First Name:VERONICA
Middle Name:V
Last Name:CURTIS
Suffix:I
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3805 NW 52ND ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-2085
Mailing Address - Country:US
Mailing Address - Phone:405-609-8725
Mailing Address - Fax:
Practice Address - Street 1:3805 NW 52ND ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2085
Practice Address - Country:US
Practice Address - Phone:405-609-8725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-17
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKL0053329164W00000X
OK107524363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No164W00000XNursing Service ProvidersLicensed Practical Nurse