Individual
MS. ASHLEY MICHELLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1705 CRADDUCK RD, ADA, OK 74820-9491
(580) 279-6313
Mailing address
14017 COUNTY ROAD 3505, ADA, OK 74820-2783
(580) 399-3296
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
210149
OK
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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