MS. ELISABETH MUSTACHIA


Address: 600 W Boeing Dr, Ste D, Midwest City, OK 73110-3035
Phone: 4056205690

MS. ELISABETH MUSTACHIA (NPI# 1346725595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346725595
Entity Type Individual
Full Name MS. ELISABETH MUSTACHIA
Credential NP
Practice Address 600 W Boeing Dr
Ste D
Midwest City
OK 73110-3035
Practice Telephone 4056205690
Mailing Telephone 4056205690
Enumeration Date 2018-10-03
Last Update Date 2019-12-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R0079257 OK Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 600 W BOEING DR
STE D
City MIDWEST CITY
State OK
Zip Code 73110-3035

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NPI Name Taxonomy Address Enumeration
1255939377 Torry E Elston Technician/Technologist 5908 Se 15th St, Midwest City, OK 73110 2020-10-12
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1114494903 Tiandrea Jeanae Neal Behavioral Analyst 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 2018-10-30
1467902593 Brian Christopher Lewis Case Manager/Care Coordinator 8616 Cedar Ridge Drive, Midwest City, OK 73110 2016-10-13
1669839312 National Iom, Pllc Electrodiagnostic Medicine 1205 S. Air Depot # 102, Midwest City, OK 73110 2016-01-26
1003292210 Alexandrea Funston Speech-Language Pathologist 224 E Blossom Drive, Midwest City, OK 73110 2015-08-11
1184053399 Ronya Caraway Community/Behavioral Health 7901 Ne 10th, B106, Midwest City, OK 73110 2013-11-07
1245678374 Layfette Lamar Fletcher Counselor 405 Delia Street, Midwest City, OK 73110 2013-06-11
1114364163 Kathryn Ann Gray Social Worker 1391 North Midwest Blvd., Midwest City, OK 73110 2013-05-31
1841542545 Steven Atkins Akinnfest Counselor 417 Reed Place, Midwest City, OK 73110 2012-10-05
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1154976033 Mindful Psychiatric Consulting LLC Nurse Practitioner 1700 Nw 174th St, Edmond, OK 73012-6963 2019-08-07
1811555154 Pamela Jean Davies-jones Nurse Practitioner 3905 Brunswick Ln, Norman, OK 73072-1759 2019-06-02
1568920213 Shannon Marie Rakowski Nurse Practitioner 2770 Washington Dr Ste 100, Norman, OK 73069-1016 2019-03-12
1174007595 Tawnya Dawn Peery Nurse Practitioner 1108 W. Walnut Drive, Ardmore, OK 73401 2018-09-21
1881141000 Elizabeth Muburi Nurse Practitioner 6051 N Brookline Ave Ste 122, Oklahoma City, OK 73112-4286 2016-09-06
1124478193 Lindsay Dlugonski Nurse Practitioner 545 S. 30th Street, Clinton, OK 73601 2016-06-20
1649639550 Jane M Harmon Dnp,rn,pmhnp-bc,pllc Nurse Practitioner 305 Dogwood Ct, Broken Bow, OK 74728-6118 2016-02-19
1902248123 Satera Nicole Washington Nurse Practitioner 18308 Willow Oak Ln, Edmond, OK 73012-4042 2013-07-29
1417254236 Vanessa Roxane Long Nurse Practitioner 100 Nw 63rd St Ste 100, Oklahoma City, OK 73116-8208 2011-02-14
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Competitor

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City MIDWEST CITY
Zip Code 73110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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