Amber Dawn Burdette

Individual provider Active NPI Adult Health Nurse Practitioner · Bixby, OK

NPI 1417880667 · NPPES record last updated Jun 6, 2026

Key facts

NPI
1417880667
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
228655 (OK)
Practice address
9408 E 117TH St S
Bixby, OK 74008-1810
Phone
(918) 527-6001
NPI assigned
Jun 6, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
228655OKMDAdult Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 228655 OK Yes

Addresses

Primary practice location

9408 E 117TH St S
Bixby, OK 74008-1810

Mailing address

9408 E 117TH St S
Bixby, OK 74008-1810
Phone (918) 527-6001

Other providers in Bixby, OK

All providers in Bixby, OK · Adult Health Nurse Practitioner in Oklahoma

Sources for this page

Verify at the official NPI Registry.