IndividualActive
Kristopher Mcbroom
NPI 1346134830 · Gerontology Nurse Practitioner · Midwest City, OK
Provider details
- NPI number
- 1346134830
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 223503 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2801 Parklawn Dr Ste 302
Midwest City, OK 73110-4230
Phone: (405) 492-7229
Approximate (ZIP-level) locationGet directions
Mailing address
2801 Parklawn Dr Ste 302
Midwest City, OK 73110-4230
Registry dates
- Enumerated
- 2025-06-07
- Last updated
- 2025-07-12
- Certified
- 2025-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.