Provider Demographics
NPI:1679974158
Name:GRAMLING, LAURA KAY (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:KAY
Last Name:GRAMLING
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:MOFFATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7800 NW 85TH TER STE 200
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-3385
Mailing Address - Country:US
Mailing Address - Phone:405-608-3800
Mailing Address - Fax:405-608-3838
Practice Address - Street 1:8121 NATIONAL AVE STE 150
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-7570
Practice Address - Country:US
Practice Address - Phone:405-732-7820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-15
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK83074363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily