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

Mia Nathan

Individual provider Acute Care Nurse Practitioner · NPI 1306655659

Mia Nathan is a Nurse Practitioner in Oklahoma City, Oklahoma. Qualified in 2024, 2 years ago. Practices with Integris Ambulatory Care Corporation, a 683-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
2
Licensed in
OK
In the registry since
2025
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Practice location Address checks out

3300 NW Expy
Oklahoma City, OK 73112-4418
Phone: (405) 949-3011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 221259 (OK)

Record details

NPI number1306655659
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 2, 2025
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Integris Ambulatory Care Corporation — 683 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Oklahoma City