Provider Demographics
NPI:1184234148
Name:GOODNIGHT, DAO THE ANH (APRN, CNP, FNP-C)
Entity type:Individual
Prefix:
First Name:DAO
Middle Name:THE ANH
Last Name:GOODNIGHT
Suffix:
Gender:F
Credentials:APRN, CNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 WILL ROGERS PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73108-1840
Mailing Address - Country:US
Mailing Address - Phone:405-943-0903
Mailing Address - Fax:405-946-0950
Practice Address - Street 1:4350 WILL ROGERS PKWY STE 400
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73108-1840
Practice Address - Country:US
Practice Address - Phone:405-943-0903
Practice Address - Fax:405-946-0950
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK109955363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty