Unknown Individual – Family Nurse Practitioner, NPI 1578677449

Unknown Individual is a healthcare provider. based in Tulsa, Oklahoma. specializing in Family Nurse Practitioner. They hold a License No. R0045656 (OK). The NPI Number for Unknown Individual is 1578677449

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1578677449
Phone
(918) 756-4333
Address
MCN PRIMARY CLINICS
Deactivation Date
28 January 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • MCN PRIMARY CLINICS

    DEPT 1467

    TULSA, OK 741820001

    Phone: (918) 756-4333

    Fax: (918) 279-1101

    Type: Mailing

  • OK 72, Coweta, Wagoner County, Oklahoma, 74429, United States

    COWETA, OK 744297900

    Phone: (918) 279-3200

    Fax: (918) 279-1101

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74182)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1578677449 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Tulsa, Oklahoma.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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