MEDICARE: ASHLEY ANN TOTTEN-GILBERT APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	99736	OK
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	99736	OK

General Provider Information

NPI Number	:	1225518046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY ANN TOTTEN-GILBERT APRN

Provider Business Mailing Address
First Line	:	PO BOX 72
Second Line	:
City	:	CLEVELAND
State	:	OK
Zip	:	74020-0072
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 N BROADWAY ST
Second Line	:
City	:	CLEVELAND
State	:	OK
Zip	:	74020-3421
Country	:	US
Telephone Number	:	918-497-8138
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2018
Last Update Date	:	01/06/2026

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