Individual
ASHLEY MAHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2832 E 101ST ST, TULSA, OK 74137-5601
(918) 771-4455
Mailing address
1430 E 122ND CT S, JENKS, OK 74037-4963
(918) 991-9969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200377
OK
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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