Individual
TAUSHA ZANN SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-CNP
Contact information
Practice address
1116 WALNUT DR, ARDMORE, OK 73401-2353
(580) 226-0543
(580) 226-2284
Mailing address
731 12TH AVE NW, SUITE #201, ARDMORE, OK 73401-5761
(580) 224-9000
(580) 224-9009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0054948
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200237680A
—
OK
Enumeration date
04/16/2009
Last updated
09/21/2022
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