MAIN STREET FAMILY HEALTHCARE NURSE PRACTITIONER CLINIC, LLC
NPI 1154719169
Clinic/Center - Primary Care in Stroud, OK

Active since December 27, 2014
309 W MAIN ST, STROUD, OK 74079(918) 987-0067 Get Directions Write a Review

NPPES record last updated: December 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Main Street Family Healthcare Nurse Practitioner Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIN STREET FAMILY HEALTHCARE NURSE PRACTITIONER CLINIC, LLC (NPI 1154719169) is a healthcare organization registered as a primary care in Stroud, Oklahoma and active in the NPI registry since December 2014. The organization lists Bronwyn L. Howard, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1154719169
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMAIN STREET FAMILY HEALTHCARE NURSE PRACTITIONER CLINIC, LLC
Location Address309 W MAIN STStroud, OK 74079-3611
Mailing Address309 W Main St, P.o. Box 968Stroud, OK 74079-3611 · (918) 987-0067
Organization SubpartNo
Authorized OfficialBronwyn L. HowardOwner/operator · (918) 950-5053
Enumeration DateDecember 27, 2014
Last NPPES UpdateDecember 18, 2015
NPI 1154719169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in OK · R0052024
309 W MAIN ST, Stroud, OK 74079

Other Identifiers 3

Medicare UPIN246733204OK
Medicaid200121770AOK
Medicaid2005513360AOK

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
309 W MAIN ST
STROUD, OK 74079

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Main Street Family Healthcare Nurse Practitioner Clinic, LLC's NPI number?

The NPI number for Main Street Family Healthcare Nurse Practitioner Clinic, LLC is 1154719169. It was assigned to this organization in the NPPES registry on December 27, 2014.

Where is Main Street Family Healthcare Nurse Practitioner Clinic, LLC located?

Main Street Family Healthcare Nurse Practitioner Clinic, LLC is located at 309 W Main St, Stroud, OK 74079. The listed phone number is (918) 987-0067.

What is Main Street Family Healthcare Nurse Practitioner Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Main Street Family Healthcare Nurse Practitioner Clinic, LLC was last updated on December 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.