Organization
OK PSYCH NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MATHIAS APRN (PMHNP)
(918) 810-9118
Entity
Organization
Contact information
Practice address
1509 NW 198TH ST, EDMOND, OK 73012-3465
(918) 810-9118
Mailing address
1509 NW 198TH ST, EDMOND, OK 73012-3465
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2084H0002X
—
OK
05
—
2084P0800X
—
OK
05
—
2084P0804X
—
OK
05
—
2084P0805X
—
OK
Enumeration date
07/05/2023
Last updated
08/17/2023
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