Provider Demographics
NPI:1952052185
Name:CANSLER, MEGAN NICOLE (APRN)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:NICOLE
Last Name:CANSLER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 E 790 RD
Mailing Address - Street 2:
Mailing Address - City:OMEGA
Mailing Address - State:OK
Mailing Address - Zip Code:73764-6351
Mailing Address - Country:US
Mailing Address - Phone:580-922-0508
Mailing Address - Fax:
Practice Address - Street 1:4013 NW EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-2610
Practice Address - Country:US
Practice Address - Phone:405-825-9020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-10
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK206429363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily