Organization
ASH FAMILY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDA LYNN GOWER APRN (OWNER)
(405) 206-6883
Entity
Organization
Contact information
Practice address
2256 36TH AVENUE, SUITE 200, NORMAN, OK 73072
(405) 701-9994
(405) 701-9996
Mailing address
PO BOX 720505, NORMAN, OK 73070
(405) 701-9994
(405) 701-9996
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
10/16/2023
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