Provider Demographics
NPI:1477117638
Name:AARON, MERYL ELAINE (APRN)
Entity type:Individual
Prefix:
First Name:MERYL
Middle Name:ELAINE
Last Name:AARON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1008 S BRYANT AVE STE 275
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-5733
Mailing Address - Country:US
Mailing Address - Phone:405-889-8287
Mailing Address - Fax:833-605-4189
Practice Address - Street 1:1008 S BRYANT AVE STE 275
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-5733
Practice Address - Country:US
Practice Address - Phone:405-889-8287
Practice Address - Fax:833-605-4189
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK47419207PE0004X
OKR0047419363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services