Individual
ASHLEY A COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1500 E DOWNING ST STE 214, TAHLEQUAH, OK 74464-3379
(918) 413-0202
(918) 431-0203
Mailing address
PO BOX 751, HULBERT, OK 74441-0751
(918) 772-3390
(918) 772-3638
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R79935
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200257070A
—
OK
Enumeration date
08/05/2009
Last updated
06/04/2019
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