Individual
MICHELLE R HARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10512 N 110TH EAST AVE STE 300, OWASSO, OK 74055-6638
(918) 376-8900
(918) 376-8990
Mailing address
7061 N SCISSORTAIL CT, OWASSO, OK 74055-8282
(918) 260-3939
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
MIL1-0432-7188
OK
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
R0078629
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200101110A
—
OK
Enumeration date
11/09/2006
Last updated
05/06/2025
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