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Active NPI 1558613356 Individual Practitioner Female Practitioner

Angela Lynne Williams , CPNP

Nurse Practitioner - Pediatrics • Broken Arrow, OK

Professional Overview & Biography Verified Profile Summary

Angela Williams, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Broken Arrow, OK. Practice services are available at 3300 S ASPEN AVE STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3300 S Aspen Ave Ste B

Broken Arrow, OK 740127501

Telephone 9184554140
Fax 9184550170
Associated Practice Facility / Clinic
🏢 Aspen Children's Clinic Of Broken Arrow Inc. Facility NPI 1144363094

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Broken Arrow, OK (182 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-03-10
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OK 20111693

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License OK 86448

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Suresh Bharani

Pediatrics

NPI 1174572838

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 10, 2022

Registered at 3300 S ASPEN AVE STE B, BROKEN ARROW, OK 740127501 (Tel: 9184554140)

📍
Updated Business Mailing Address March 10, 2022

Registered at 3300 S ASPEN AVE STE B, BROKEN ARROW, OK 740127501 (Tel: 9184554140)

👤
Provider Name / Credentials Updated March 10, 2022

Recorded as ANGELA WILLIAMS, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2022

Nurse Practitioner (License #86448 in OK)

✅
NPI Profile Active October 04, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2012

Registered at 1310 E BOONE ST, TAHLEQUAH, OK 744643338 (Tel: 9184567700)

📍
Updated Business Mailing Address October 04, 2012

Registered at 1310 E BOONE ST, TAHLEQUAH, OK 744643338 (Tel: 9184567700)

👤
Provider Name / Credentials Updated October 04, 2012

Recorded as ANGELA MCCONNELL, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2012

Nurse Practitioner (License #20111693 in OK)

🟢
Initial NPI Registration & Enumeration October 04, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558613356
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2012
Last Update: March 10, 2022
Sole Proprietor: No
Update or Correct Profile

Mailing Address

3300 S Aspen Ave Ste B

Broken Arrow, OK 740127501

Phone: 9184554140

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.