Provider Demographics
NPI:1861736738
Name:ASHLEY, LYNDSE MICHELE (APRN)
Entity type:Individual
Prefix:MRS
First Name:LYNDSE
Middle Name:MICHELE
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2770 WASHINGTON DR STE 100
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-1016
Mailing Address - Country:US
Mailing Address - Phone:405-310-3735
Mailing Address - Fax:405-310-3576
Practice Address - Street 1:2760 WASHINGTON DR STE 110
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-1009
Practice Address - Country:US
Practice Address - Phone:405-360-2827
Practice Address - Fax:866-415-9895
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-16
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK83243363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200463540AMedicaid