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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OLIVIA ANNE DERRYBERRY, PA-C

Active

OLIVIA ANNE DERRYBERRY, PA-C is a Physician Assistant healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1154124261 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · OKLAHOMA CITY, OK

Registration Details

NPI Number
1154124261
Provider Type
Individual
Gender
Female
NPI Issued
Apr 1, 2025 (1.3583597700023 yrs)
Last Updated
Sep 19, 2025
License
5602 (OK)

Practice Information

Address
11200 N PORTLAND AVE
OKLAHOMA CITY, OK, 731205045
Browse OK providers · Browse ZIP 73120
Phone
4054967348
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in OKLAHOMA CITY, OK

Name Credential NPI
SUSAN D WORSHAM PA 1245233113
MR. ROGER D HELLWEGE PA-C 1295738110
MICHAEL A THAYER PA 1558364422
JEFFREY D MARTENS PA 1659374049
GREGORY W DINWIDDIE PAC 1578567848
KENDALL LEIGH PHILLIPS PA 1306840327
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.