IndividualActive
Amanda Henry, APRN-CNS
NPI 1174202485 · Gerontology Nurse Practitioner · Oklahoma City, OK
Provider details
- NPI number
- 1174202485
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN-CNS
- Sex
- Female
- Sole proprietor
- No
- License
- 214262 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4120 W Memorial Rd Ste 300
Oklahoma City, OK 73120-9322
Phone: (405) 302-2661
Fax: (405) 302-2670
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 776084
Chicago, IL 60677-6084
Registry dates
- Enumerated
- 2023-07-13
- Last updated
- 2026-04-07
- Certified
- 2026-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.