Provider Demographics
NPI:1427149095
Name:O'CONNELL, NANCY LISETTE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:LISETTE
Last Name:O'CONNELL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Mailing Address - Street 1:5300 N INDEPENDENCE AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5555
Mailing Address - Country:US
Mailing Address - Phone:405-702-9400
Mailing Address - Fax:405-702-9437
Practice Address - Street 1:4801 SE 15TH ST
Practice Address - Street 2:
Practice Address - City:DEL CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-3918
Practice Address - Country:US
Practice Address - Phone:405-702-9400
Practice Address - Fax:405-702-9437
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0069075363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics