Basic Information
| Provider Information | |||||||||
| NPI: | 1811027568 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MELSER | ||||||||
| FirstName: | DEBORAH | ||||||||
| MiddleName: | SUE | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 825 NE 10TH | ||||||||
| Address2: | SUITE 3300 | ||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 73104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4052715239 | ||||||||
| FaxNumber: | 4052713727 | ||||||||
| Practice Location | |||||||||
| Address1: | 920 STANTON L. YOUNG | ||||||||
| Address2: | |||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 73104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4052717449 | ||||||||
| FaxNumber: | 4052718762 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2007 | ||||||||
| LastUpdateDate: | 09/23/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164W00000X | 209-004083 | IL | N | Nursing Service Providers | Licensed Practical Nurse | 176B00000X | 100492 | OK | Y | Other Service Providers | Midwife |
No ID Information.