New Identity Foundation
NPI #1184586125 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1184586125
- Entity Type
- Organization
- Organization Name
- New Identity Foundation
- Primary Specialty
- Registered Nurse - Nurse Massage Therapist (NMT)
- Enumeration Date
- Nov 28, 2025
- Last Updated
- Nov 28, 2025
Practice Location
- Address
- 613 NW 117TH ST
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73114-7922
- Phone
- (405) 824-1378
Authorized Official
- Name
- MONICA A. TUCKER, RN
- Title
- RN ADMINISTRATION
- Phone
- (405) 824-1378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Administrator — Administrator |
| Registered Nurse - Case Management — Case Management |
| Case Manager/Care Coordinator |
| Registered Nurse - Nurse Massage Therapist (NMT) — Nurse Massage Therapist (NMT) |
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