Provider Demographics
NPI:1891127940
Name:IMES, NICOLE ASHTON (CPM)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:ASHTON
Last Name:IMES
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 N FLOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6913
Mailing Address - Country:US
Mailing Address - Phone:405-684-6167
Mailing Address - Fax:
Practice Address - Street 1:402 N FLOOD AVE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6913
Practice Address - Country:US
Practice Address - Phone:405-684-6167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-31
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No374J00000XNursing Service Related ProvidersDoula