Individual
ELISE NICOLE WELBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 W TECUMSEH RD STE 106, NORMAN, OK 73072-1810
(405) 314-0044
(405) 307-5621
Mailing address
3400 W TECUMSEH RD STE 106, NORMAN, OK 73072-1810
(405) 515-0044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4571
OK
Other
Enumeration date
07/01/2021
Last updated
05/30/2024
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