Individual
ASHLEY NICHOLE MATHIS COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1265 S UTICA AVE STE 105, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021
Mailing address
33741 E 750 RD, WAGONER, OK 74467-9396
(580) 687-5040
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
214029
OK
Other
Enumeration date
07/05/2023
Last updated
10/25/2023
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