Individual
MEAGAN MAHTUSHQUAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3916 S SUNNYLANE RD, OKLAHOMA CITY, OK 73115-3656
(405) 812-2515
Mailing address
1919 WILMINGTON CT, NORMAN, OK 73071-2232
(405) 948-4900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
117483
OK
363L00000X
Nurse Practitioner
Primary
220103
OK
Other
Enumeration date
01/03/2019
Last updated
02/07/2025
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