Provider Demographics
NPI:1336820596
Name:EMBRACING MORTALITY, INC.
Entity Type:Organization
Organization Name:EMBRACING MORTALITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MITZI
Authorized Official - Middle Name:BRASSEAUX
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, CNP, DNP
Authorized Official - Phone:405-633-6310
Mailing Address - Street 1:1912 ROSEDALE DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-6641
Mailing Address - Country:US
Mailing Address - Phone:405-633-6310
Mailing Address - Fax:
Practice Address - Street 1:1912 ROSEDALE DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-6641
Practice Address - Country:US
Practice Address - Phone:405-633-6310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care