Individual
ARYIA SHELBIE JOLENE MADDUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(844) 458-2100
Mailing address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(844) 458-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
210879
OK
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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