Organization
SHADOW NURSING ALLIED HEALTH LLC
Active
Organization
SHADOW NURSING ALLIED HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA A TUCKER (RN ADMINISTRATOR)
(405) 824-1378
Entity
Organization
Contact information
Practice address
613 NW 117TH ST, OKLAHOMA CITY, OK 73114-7922
(405) 824-1378
Mailing address
613 NW 117TH ST, OKLAHOMA CITY, OK 73114-7922
(405) 824-1378
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WC0400X
Case Management Registered Nurse
Primary
—
—
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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