Individual
MRS. ASHLEE NICOLE BLACKABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN-CRNA
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4090
(918) 579-1000
Mailing address
13900 N 3983 DR, DEWEY, OK 74029-3906
(918) 766-2759
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
122282
OK
207L00000X
Anesthesiology Physician
Primary
215224
OK
Other
Enumeration date
07/07/2023
Last updated
09/14/2023
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