Provider Demographics
NPI:1790107332
Name:REUST, DAYNA JOYCE (APRN)
Entity Type:Individual
Prefix:
First Name:DAYNA
Middle Name:JOYCE
Last Name:REUST
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DAYNA
Other - Middle Name:JOYCE
Other - Last Name:SEBOURN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8500 CRESTLINE DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-1131
Mailing Address - Country:US
Mailing Address - Phone:405-206-3847
Mailing Address - Fax:
Practice Address - Street 1:8500 CRESTLINE DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-1131
Practice Address - Country:US
Practice Address - Phone:405-206-3847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-16
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0083951163W00000X, 363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care
No163W00000XNursing Service ProvidersRegistered Nurse