Individual
SHELBY WILLEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
2317 NW 194TH ST, EDMOND, OK 73012-3496
(716) 438-6397
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
205481
OK
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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