HOLIATRY HEALTH AND WELLNESS LLC NPI 1134967797

NPI Information

  • NPI: 1134967797
  • Provider Name: HOLIATRY HEALTH AND WELLNESS LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 37D2318445
  • Address: 323 E ROGERS BLVD
    SKIATOOK, OK
    ZIP 74070
  • Phone: (918) 719-2841

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NPI Details

HOLIATRY HEALTH AND WELLNESS LLC is a primary care clinic center in Skiatook, OK. HOLIATRY HEALTH AND WELLNESS LLC NPI is 1134967797. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

323 E ROGERS BLVD
SKIATOOK, OK
ZIP 74070-205
Phone: (918) 719-2841
Fax: (918) 398-9238

The provider's authorized official is Shelby Ann Pope .
The authorized official title is Nurse Practitioner and has the following contact phone number (918) 719-2841.

The CLIA number assigned to this NPI record is 37D2318445 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2024 and was last updated on 1/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental HealthNo
2261QP2300XClinic/CenterPrimary CareYes
3363LF0000XNurse PractitionerFamilyNo
4363LP2300XNurse PractitionerPrimary CareNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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