Individual
LATINA D SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
2921 SW 89TH ST, OKLAHOMA CITY, OK 73159-6332
(405) 757-7818
(405) 703-0645
Mailing address
PO BOX 891625, OKLAHOMA CITY, OK 73189-1625
(405) 237-3770
(405) 703-0645
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R0106308
OK
363LP0200X
Pediatric Nurse Practitioner
Primary
R0106308
OK
Other
Enumeration date
07/13/2012
Last updated
02/20/2026
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