Individual
STEPHANIE SHAVONEE' NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104
(405) 456-1000
Mailing address
2420 NW 154TH ST, EDMOND, OK 73013-8969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
89403
OK
Other
Enumeration date
10/03/2016
Last updated
07/21/2018
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