Provider Demographics
NPI:1790002434
Name:SURBER, ANGELA YURAS (RN, APRN-CNP)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:YURAS
Last Name:SURBER
Suffix:
Gender:F
Credentials:RN, APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2212 POWDERHORN
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-6803
Mailing Address - Country:US
Mailing Address - Phone:405-326-8213
Mailing Address - Fax:405-513-6070
Practice Address - Street 1:1000 N LINCOLN BLVD STE 3400
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-3252
Practice Address - Country:US
Practice Address - Phone:405-271-1000
Practice Address - Fax:405-271-1013
Is Sole Proprietor?:No
Enumeration Date:2010-04-20
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK89442363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health