Provider Demographics
NPI:1790351328
Name:NEERING, TREVOR CHRISTOPHER (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:TREVOR
Middle Name:CHRISTOPHER
Last Name:NEERING
Suffix:
Gender:M
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1201 N FRANCIS AVE APT 317
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73106-6869
Mailing Address - Country:US
Mailing Address - Phone:405-370-9663
Mailing Address - Fax:
Practice Address - Street 1:2801 PARKLAWN DR STE 302
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-4230
Practice Address - Country:US
Practice Address - Phone:405-492-7229
Practice Address - Fax:800-939-2314
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-03
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK202227363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner