OrganizationActive
Defy Medical LLC
NPI 1023963097 · Gerontology Nurse Practitioner · Sand Springs, OK
Provider details
- NPI number
- 1023963097
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Lyndsey Smith, Owner(918) 636-1289
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1102 N 177th West Ave
Sand Springs, OK 74063-8172
Phone: (918) 636-1289
Approximate (ZIP-level) locationGet directions
Mailing address
1102 N 177th West Ave
Sand Springs, OK 74063-8172
Registry dates
- Enumerated
- 2026-03-03
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.