Provider Demographics
NPI:1801350152
Name:AMAIREH, ASHLEY DAWN (FNP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:DAWN
Last Name:AMAIREH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:DAWN
Other - Last Name:AMAIREH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10400 S WESTERN AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-3017
Mailing Address - Country:US
Mailing Address - Phone:405-632-7256
Mailing Address - Fax:
Practice Address - Street 1:10400 S WESTERN AVE STE 7
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-3017
Practice Address - Country:US
Practice Address - Phone:405-632-7256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKF01191720363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily