Provider Demographics
NPI:1851741052
Name:KRUGER, MELINDA NATASHA KRUGER (NP-C)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:NATASHA KRUGER
Last Name:KRUGER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 S BRYANT AVE
Mailing Address - Street 2:# 8
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-5723
Mailing Address - Country:US
Mailing Address - Phone:405-938-1389
Mailing Address - Fax:405-938-1388
Practice Address - Street 1:1221 N KELLY AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-4865
Practice Address - Country:US
Practice Address - Phone:405-844-1663
Practice Address - Fax:405-285-4060
Is Sole Proprietor?:No
Enumeration Date:2016-06-17
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0106037163W00000X
OKF06161439363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse