Provider Demographics
NPI:1598191959
Name:JOSEPH, CIBY DANIEL (APRN,NP-C)
Entity Type:Individual
Prefix:MRS
First Name:CIBY
Middle Name:DANIEL
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:APRN,NP-C
Other - Prefix:
Other - First Name:CIBY
Other - Middle Name:
Other - Last Name:MATHEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-CNP
Mailing Address - Street 1:7324,SANDLEWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA
Mailing Address - State:OK
Mailing Address - Zip Code:73132
Mailing Address - Country:US
Mailing Address - Phone:405-603-8538
Mailing Address - Fax:
Practice Address - Street 1:3366 NW EXPRESSWAY STE 660
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4416
Practice Address - Country:US
Practice Address - Phone:405-947-3345
Practice Address - Fax:405-945-0242
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0084510363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily