Provider Demographics
NPI:1043492283
Name:OU COLLEGE OF NURSING TAKE CHARGE PROGRAM
Entity Type:Organization
Organization Name:OU COLLEGE OF NURSING TAKE CHARGE PROGRAM
Other - Org Name:TAKE CHARGE PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT DEAN FOR ADMINSTRATION
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGO
Authorized Official - Middle Name:
Authorized Official - Last Name:MACROBERT
Authorized Official - Suffix:
Authorized Official - Credentials:RNC, MS, CNAA, BC
Authorized Official - Phone:405-271-8767
Mailing Address - Street 1:1100 N STONEWALL AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-1200
Mailing Address - Country:US
Mailing Address - Phone:405-271-2124
Mailing Address - Fax:
Practice Address - Street 1:1100 N STONEWALL AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73117-1200
Practice Address - Country:US
Practice Address - Phone:405-271-2124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OU COLLEGE OF NURSING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health