Provider Demographics
NPI:1265100978
Name:SRAMEK, LINH KHANH THUY (APRN-CNP)
Entity type:Individual
Prefix:MRS
First Name:LINH
Middle Name:KHANH THUY
Last Name:SRAMEK
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13700 S WESTERN AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-7006
Mailing Address - Country:US
Mailing Address - Phone:405-806-7246
Mailing Address - Fax:405-703-1583
Practice Address - Street 1:308 SE 7TH CIR
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-6716
Practice Address - Country:US
Practice Address - Phone:405-201-2669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0106628163W00000X
OK205279363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse