Provider Demographics
NPI:1093198939
Name:MUSGROVE, AIMEE (APRN-C)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:MUSGROVE
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:
Other - Last Name:LAMPHIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6528 E 101ST ST
Mailing Address - Street 2:STE 1
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-6724
Mailing Address - Country:US
Mailing Address - Phone:918-382-5588
Mailing Address - Fax:918-382-5597
Practice Address - Street 1:2025 E 71ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-5407
Practice Address - Country:US
Practice Address - Phone:918-561-6642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-08
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK83052363LA2200X, 363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology