Individual
AMANDA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-3667
Mailing address
1404 HUNTERS RIDGE RD, EDMOND, OK 73034-3326
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5359
OK
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
04/01/2026
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