Individual
MS. ASHA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
711 SL YOUNG BLVD STE 430, OKLAHOMA CITY, OK 73104-5022
(405) 271-6434
Mailing address
1416 ASHER ST, YUKON, OK 73099-9734
(405) 408-1655
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0080456
OK
363LG0600X
Gerontology Nurse Practitioner
0080456
OK
363LP2300X
Primary Care Nurse Practitioner
0080456
OK
Other
Enumeration date
07/29/2015
Last updated
08/22/2015
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