Individual
ASHLEY MICHELLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 W 6TH ST, OKMULGEE, OK 74447
(918) 779-0709
Mailing address
109 W 6TH ST, OKMULGEE, OK 74447-5015
(918) 779-0709
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
103283
OK
Other
Enumeration date
09/15/2018
Last updated
01/23/2019
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