Provider Demographics
NPI:1265074975
Name:ESSARY, ANGELA TIANA (APNP, NP-C)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:TIANA
Last Name:ESSARY
Suffix:
Gender:F
Credentials:APNP, NP-C
Other - Prefix:
Other - First Name:ANGELA AND
Other - Middle Name:TIANA
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:9900 WEATHERS BROOK LN
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73025-0504
Mailing Address - Country:US
Mailing Address - Phone:405-361-0981
Mailing Address - Fax:
Practice Address - Street 1:1334 N HARVILLE RD
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-1514
Practice Address - Country:US
Practice Address - Phone:405-278-8006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-14
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK76378363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK76378OtherOKLAHOMA BOARD OF NURSING