Individual
ASHLEY BROOKE SLATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
114 S LOUIS TITTLE AVE, MANGUM, OK 73554-4406
(580) 782-3393
(580) 782-3395
Mailing address
114 S LOUIS TITTLE AVE, MANGUM, OK 73554-4406
(580) 782-3393
(580) 782-3395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
85979
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200839820A
—
OK
Enumeration date
04/12/2019
Last updated
09/14/2022
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