Provider Demographics
NPI:1588365936
Name:SMITH, ARIKA L (CNP)
Entity type:Individual
Prefix:
First Name:ARIKA
Middle Name:L
Last Name:SMITH
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11320 E SEWELL AVE
Mailing Address - Street 2:
Mailing Address - City:CHOCTAW
Mailing Address - State:OK
Mailing Address - Zip Code:73020-8235
Mailing Address - Country:US
Mailing Address - Phone:405-431-7401
Mailing Address - Fax:
Practice Address - Street 1:511 E 1ST ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:OK
Practice Address - Zip Code:74834-2439
Practice Address - Country:US
Practice Address - Phone:405-654-0013
Practice Address - Fax:405-654-0012
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK212195363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily