Resurgence Vitality, LLC
Resurgence Vitality, LLC is a Health Service Clinic/Center in Edmond, Oklahoma. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2901 Fairfax Dr Ste 100Edmond, OK 73034-3521
Phone: (405) 216-3437
Fax: (866) 497-6393
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X |
|---|---|
| Medical Specialty Clinic/Center | Taxonomy 261QM2500X |
Record details
| NPI number | 1932088440 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Angela Baustert — Owner/Nurse Practitioner · (405) 216-3437 |
| NPI enumerated | August 28, 2025 |
| Last updated in NPPES | July 14, 2026 |
| Certification date | July 14, 2026 |
| Mailing address | 2901 Fairfax Dr Ste 100, Edmond, OK 73034-3521 |
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