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NPI 1770177131 · live from the CMS NPI Registry

Ash Family Medical LLC

Nurse Practitioner, Family in Norman, OK. National Provider Identifier 1770177131, active.

NPI record

NPI1770177131 Type 2 · organization
StatusActive
Primary specialtyNurse Practitioner, Family 363LF0000X
Practice location2256 36th Avenue, Suite 200, Norman, OK 73072
Practice phone405-701-9994
Mailing addressPo Box 720505, Norman, OK 73070
EnumeratedFebruary 25, 2021
Last updatedOctober 16, 2023
Authorized officialShanda Gower, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Family primary363LF0000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.