Individual
AMY MARIE ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1401 W 1ST ST, WEWOKA, OK 74884-5097
(405) 257-3396
(405) 257-6908
Mailing address
PO BOX 1093, WEWOKA, OK 74884-1093
(405) 257-3396
(405) 257-6908
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
89487
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200521460A
—
OK
Enumeration date
11/15/2013
Last updated
04/19/2017
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