Individual
ASHLEY NICOLE WILLEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
105 S. BRYANT AVE, #304, EDMOND, OK 73034-6331
(405) 341-1557
(405) 341-5615
Mailing address
4900 S MONACO ST, #210, DENVER, CO 80237-3486
(405) 341-1557
(405) 341-5615
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
87967
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200328580A
—
OK
Enumeration date
04/28/2011
Last updated
03/28/2012
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