Individual
MS. DORSA DIANNE AHLEFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1200 CHILDRENS AVE, SUITE 7D, OKLAHOMA CITY, OK 73104-4637
(405) 271-3800
(405) 271-3399
Mailing address
1200 CHILDRENS AVE, SUITE 7D, OKLAHOMA CITY, OK 73104-4637
(405) 271-3800
(405) 271-3399
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R0078915
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200208950A
—
OK
Enumeration date
10/09/2007
Last updated
06/24/2015
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