Individual
SHELBY FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
12455 E 100TH ST N STE 300, OWASSO, OK 74055-4678
(405) 757-7818
Mailing address
12455 E 100TH ST N STE 300, OWASSO, OK 74055-4678
(405) 757-7818
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
216550
OK
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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