Provider Demographics
NPI:1518591122
Name:DANKWA, LAUREN AMBER (APRN)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:AMBER
Last Name:DANKWA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:LAUREN
Other - Middle Name:AMBER
Other - Last Name:DANKWA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAUREN DANIELS
Mailing Address - Street 1:1433 WOODLAND WAY
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-3259
Mailing Address - Country:US
Mailing Address - Phone:405-201-7047
Mailing Address - Fax:
Practice Address - Street 1:700 NE 13TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5004
Practice Address - Country:US
Practice Address - Phone:405-201-7047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK116021364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
00000OtherI DONT HAVE THESE NUMBERS.