Individual
EMILY AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2401 N COMMERCE ST STE A, ARDMORE, OK 73401-1311
(580) 798-4122
(580) 319-7812
Mailing address
PO BOX 287, CADDO, OK 74729-0287
(580) 775-1820
(903) 213-9263
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0077041
OK
363LP2300X
Primary Care Nurse Practitioner
Primary
77041
OK
Other
Enumeration date
10/21/2014
Last updated
06/12/2024
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