Healthcare Provider Details
I. General information
NPI: 1891614749
Provider Name (Legal Business Name): ASCENSION HEALTH AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
26496 E STATE HIGHWAY 3
HAWORTH OK
74740-5652
US
IV. Provider business mailing address
26496 E STATE HIGHWAY 3
HAWORTH OK
74740-5652
US
V. Phone/Fax
- Phone: 903-933-6400
- Fax:
- Phone: 903-933-6400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NATAUSHA
WALKER
Title or Position: FAMILY NURSE PRACTITIONER
Credential: APRN, FNP-C
Phone: 903-933-6400