Individual
AMBER MICHELLE LEUELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5091
(918) 342-6200
Mailing address
10727 E 530 RD, CLAREMORE, OK 74019-5478
(918) 520-1659
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0085970
OK
Other
Enumeration date
04/11/2025
Last updated
04/14/2025
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