Individual
AMANDA DEANNE SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 NW EXPRESSWAY, OKLAHOMA CITY, OK 73118-1802
(405) 246-0811
Mailing address
820 S 13TH AVE, FAIRVIEW, OK 73737-2522
(405) 246-0811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
220789
OK
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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