Individual
AMELIA ROUBIDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGNP-C
Contact information
Practice address
3613 NW 56TH ST STE 385, OKLAHOMA CITY, OK 73112-4531
(405) 848-3555
Mailing address
1501 SW 135TH ST, OKLAHOMA CITY, OK 73170-5125
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
109924
OK
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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