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ELIZABETH H. WIDASKI RN
NPI 1730224924
Nurse Practitioner - Adult Health in Oklahoma City, OK

Active since February 21, 2007
4200 W MEMORIAL RD STE 410, OKLAHOMA CITY, OK 73120(405) 608-3866(405) 607-2976 Get Directions Write a Review

NPPES record last updated: February 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2017, Dec 2, 2015 (2 updates tracked since 2015).

About Elizabeth H. Widaski Rn NPPES

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

ELIZABETH H. WIDASKI RN (NPI 1730224924) is an individual adult health provider in Oklahoma City, Oklahoma, licensed in Oklahoma (91951) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1730224924
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameELIZABETH H. WIDASKICredential: RN
Location Address4200 W MEMORIAL RD STE 410Oklahoma City, OK 73120-8305
Mailing Address4200 W Memorial Rd Ste 410Oklahoma City, OK 73120-8305 · (405) 608-3866 · Fax (405) 607-2976
Phone(405) 608-3866
Fax(405) 607-2976
Sole ProprietorNo
Enumeration DateFebruary 21, 2007
Last NPPES UpdateFebruary 24, 20172 updates tracked since enumeration
✔ NPI 1730224924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in OK · 91951✔ Licensed in TX · 632316
4200 W MEMORIAL RD STE 410, Oklahoma City, OK 73120
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Other Names 1

Former Name (1)Elizabeth H. Martinez

Other Identifiers 3

Medicaid200197740AOK
Medicare PIN8J6217TX
Medicare PIN8J6218TX

Other Providers at the Same Location NPPES 2

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

MS. MICHELLE ANN PIPER APRN, CNS
Clinical Nurse Specialist (Acute Care)
4200 W MEMORIAL RD STE 410
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 608-3800
DR. GREGORY B VANZANT D.O.
Internal Medicine (Cardiovascular Disease)
4200 W MEMORIAL RD STE 410
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 608-4767

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 Elizabeth Widaski's NPI number?

The NPI number for Elizabeth Widaski is 1730224924. It was assigned to this individual provider in the NPPES registry on February 21, 2007. The provider is also known as Elizabeth H. Martinez.

Where is Elizabeth Widaski located?

Elizabeth Widaski practices at 4200 W Memorial Rd Ste 410, Oklahoma City, OK 73120. The listed phone number is (405) 608-3866.

What is Elizabeth Widaski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Elizabeth Widaski was last updated on February 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.