Mrs. Mary Illig Minielly
APRN | Nurse Practitioner
8100 S. Walker Avenue, Building A, Oklahoma City
Oklahoma, 73139-9404
405-632-4468
Mrs. Mary Illig Minielly is a Oklahoma City, Oklahoma based nurse practitioner who is specialized as Nurse Practitioner. Active license number of Mrs. Mary Illig Minielly is R0059137 for Nurse Practitioner 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 with specialization in Nurse Practitioner 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 |
| Phone: | 405-632-4468 |
| Fax: | 405-631-4964 |
Professional Identification Codes:
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 | Nurse Practitioner | Oklahoma | Primary | |
| R0059137 | Acute Care NP | 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:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.