Provider Demographics
NPI:1306072285
Name:POINTER, DOROTHY CLEVELAND (CNM)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:CLEVELAND
Last Name:POINTER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:CLEVELAND
Other - Last Name:GRUPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:9208 SW 24TH ST STE 408
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73128-4902
Mailing Address - Country:US
Mailing Address - Phone:405-410-7311
Mailing Address - Fax:405-745-7455
Practice Address - Street 1:9208 SW 24TH ST STE 408
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73128-4902
Practice Address - Country:US
Practice Address - Phone:405-410-7311
Practice Address - Fax:405-745-7455
Is Sole Proprietor?:No
Enumeration Date:2009-06-05
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X
OK80040367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife