Individual
JULIE SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
11426 N 134TH EAST AVE, OWASSO, OK 74055-4715
(918) 727-2273
Mailing address
10757 E 350 RD, TALALA, OK 74080-9689
(918) 688-2823
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
204871
OK
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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