Provider Demographics
NPI:1134926744
Name:NIETO, MARIA ANGELES (RN)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ANGELES
Last Name:NIETO
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ANGELES
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5406 NICOLE DR
Mailing Address - Street 2:
Mailing Address - City:TUTTLE
Mailing Address - State:OK
Mailing Address - Zip Code:73089-0048
Mailing Address - Country:US
Mailing Address - Phone:325-338-3202
Mailing Address - Fax:
Practice Address - Street 1:700 NE 13TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5004
Practice Address - Country:US
Practice Address - Phone:325-338-3202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0112106163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Single Specialty