Provider Demographics
NPI:1154166189
Name:ARLEDGE, MAURISHA
Entity type:Individual
Prefix:
First Name:MAURISHA
Middle Name:
Last Name:ARLEDGE
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 1:5508 S 70TH EAST PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-8539
Mailing Address - Country:US
Mailing Address - Phone:918-378-3889
Mailing Address - Fax:
Practice Address - Street 1:5310 E 31ST ST S
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-0000
Practice Address - Country:US
Practice Address - Phone:918-378-3889
Practice Address - Fax:918-560-1399
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator