Individual
NATALIE DIANNE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 W KEETOOWAH ST, TAHLEQUAH, OK 74464-3820
(918) 314-4266
Mailing address
65250 E HIGHWAY 60, WYANDOTTE, OK 74370-2000
(918) 314-4266
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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