OLD TYME HOME VISITS LLC
NPI 1659748556
Nurse Practitioner - Gerontology in Purcell, OK

Active since August 26, 2015
128 W MAIN ST, PURCELL, OK 73080(405) 527-4704(405) 527-5976 Get Directions Write a Review

NPPES record last updated: August 26, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Old Tyme Home Visits Llc NPPES

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

OLD TYME HOME VISITS LLC (NPI 1659748556) is a healthcare organization registered as a gerontology in Purcell, Oklahoma and active in the NPI registry since August 2015. The organization lists Diane Dewbre, Advanced Practice Nurse / Owner, as its authorized official.

NPPES Registry Identity

NPI1659748556
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameOLD TYME HOME VISITS LLC
Location Address128 W MAIN STPurcell, OK 73080-4220
Mailing Address128 W Main StPurcell, OK 73080-4220 · (405) 527-4704 · Fax (405) 527-5976
Fax(405) 527-5976
Organization SubpartNo
Authorized OfficialDiane DewbreAdvanced Practice Nurse / Owner · (405) 527-4704
Enumeration DateAugust 26, 2015
NPI 1659748556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in OK · 49456
128 W MAIN ST, Purcell, OK 73080

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Gerontology)
128 W MAIN ST
PURCELL, OK 73080
Nurse Practitioner (Family)
128 W MAIN ST
PURCELL, OK 73080
Nurse Practitioner (Primary Care)
128 W MAIN ST
PURCELL, OK 73080
Nurse Practitioner (Primary Care)
128 W MAIN ST
PURCELL, OK 73080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659748556, enumerated as an "organization" on August 26, 2015.

The provider is located at 128 W MAIN ST PURCELL, OK 73080 and the phone number is (405) 527-4704.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.