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NPI Code Detail

MEDICARE: MS. ASHA JOSEPH APRN

MEDICARE:  MS. ASHA  JOSEPH  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
1363LA2200XAdult Health Nurse Practitioner0080456OK
2363LG0600XGerontology Nurse Practitioner0080456OK
3363LP2300XPrimary Care Nurse Practitioner0080456OK

General Provider Information

NPI Number : 1750766911
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ASHA JOSEPH APRN
Provider Business Mailing Address
First Line : 1416 ASHER ST
Second Line :
City : YUKON
State : OK
Zip : 73099-9734
Country : US
Telephone Number : 405-408-1655
Fax Number :
Provider Business Practice Location Address
First Line : 711 SL YOUNG BLVD STE 430
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5022
Country : US
Telephone Number : 405-271-6434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2015
Last Update Date : 08/22/2015

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