Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renaissance Health LLC

Organization Adult Health Nurse Practitioner · NPI 1104772482

Renaissance Health LLC is an Adult Health Nurse Practitioner in Oklahoma City, Oklahoma. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3621 NW 63rd St Ste E
Oklahoma City, OK 73116-2041
Phone: (405) 345-2982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1104772482
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bhavi Shah — Owner · (405) 410-2720
NPI enumeratedMarch 9, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address3621 Nw 63rd St Ste E, Oklahoma City, OK 73116-2041

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