Provider Demographics
NPI:1114224524
Name:BALDWIN, ASHLEY RANAE (APRN CNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:RANAE
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:APRN CNP
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:RANAE
Other - Last Name:OAKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:1520 S BRYANT AVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-6028
Mailing Address - Country:US
Mailing Address - Phone:405-348-7982
Mailing Address - Fax:405-330-8435
Practice Address - Street 1:1520 S BRYANT AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013
Practice Address - Country:US
Practice Address - Phone:405-348-7982
Practice Address - Fax:405-330-8435
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-21
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK86132363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily