Mrs. Mary Illig Minielly is a Oklahoma City, Oklahoma based nurse practitioner. Active license number of Mrs. Mary Illig Minielly is R0059137 in Oklahoma. Her current practice location is 8100 S. Walker Avenue, Building A, Oklahoma City. Patients can reach her at 405-632-4468 or can fax her at 405-631-4964. Mrs. Mary Illig Minielly is APRN and her NPI number (Unique professional ID assigned by NPPES) is 1417086380. Mrs. Mary Illig Minielly has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Mary Illig Minielly speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mrs. Mary Illig Minielly
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
APRN
Practice Address:
8100 S. Walker Avenue, Building A, Oklahoma City, Oklahoma, 73139-9404
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1417086380
NPI Enumeration Date:
05 Mar, 2007
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Mary Illig Minielly are as mentioned below.
License Number
Specialization
State
Status
R0059137
Oklahoma
Primary
R0059137
Acute Care
Oklahoma
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Mary Illig Minielly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100130740A
Other
Oklahoma
OHCA
28812
Other
Oklahoma
ONBDD
100130740A
Other
Oklahoma
SOONERCARE
12317438
Other
Oklahoma
CAQH
1417086380
Other
Oklahoma
NPI
59137
Other
Oklahoma
LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Mary Illig Minielly 8100 S. Walker Avenue, Building A Oklahoma City, Oklahoma
Zip:
73139-9404
Phone Number:
405-632-4468
Fax Number:
405-631-4964
Patients can reach Mrs. Mary Illig Minielly at 8100 S. Walker Avenue, Building A, Oklahoma City, Oklahoma or can call to book an appointment on 405-632-4468.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.