Provider Demographics
NPI:1295284032
Name:PYLE, KATRINA MICHELLE (NP)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:MICHELLE
Last Name:PYLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 966
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070-0966
Mailing Address - Country:US
Mailing Address - Phone:405-757-0150
Mailing Address - Fax:877-669-0254
Practice Address - Street 1:5608 SE 67TH ST STE 106
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73135-1719
Practice Address - Country:US
Practice Address - Phone:405-757-0150
Practice Address - Fax:877-669-0254
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK92970163W00000X, 363LF0000X
OKR0092970363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily