Individual
AFTON NICOLE OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1819 E 19TH ST FL 5, TULSA, OK 74104-5407
(918) 505-3200
(855) 578-9798
Mailing address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 505-3200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201671
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200981450A
—
OK
Enumeration date
04/13/2021
Last updated
09/20/2021
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