Provider Demographics
NPI:1588026116
Name:STAPLETON, AMEE
Entity type:Individual
Prefix:
First Name:AMEE
Middle Name:
Last Name:STAPLETON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3705 NW 63RD ST STE 201
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-1937
Mailing Address - Country:US
Mailing Address - Phone:405-297-4968
Mailing Address - Fax:214-848-5269
Practice Address - Street 1:3130 SW 89TH ST STE 200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-7909
Practice Address - Country:US
Practice Address - Phone:972-846-0837
Practice Address - Fax:214-764-3113
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS24-009492255A2300X
OK5098363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer