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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CODI NICOLE CASTLEBERRY, PA

Active

MRS. CODI NICOLE CASTLEBERRY, PA is a Physician Assistant healthcare provider located in OWASSO, Oklahoma. NPI 1922508266 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · OWASSO, OK

Registration Details

NPI Number
1922508266
Provider Type
Individual
Gender
Female
NPI Issued
Feb 13, 2018 (8.4843775101511 yrs)
Last Updated
Jun 16, 2020
License
2891 (OK)

Practice Information

Address
11426 N 134TH EAST AVE
OWASSO, OK, 740554715
Browse OK providers · Browse ZIP 74055
Phone
9183766345
Fax
9183766635
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in OWASSO, OK

Name Credential NPI
SARAH E KELLY PA 1710979018
MARILYN SUE TAYLOR PA 1063485316
DAVID STOLL P.A. 1346214202
MRS. TERESA DESHAWN GREEN PHYSICIAN ASSISTANT 1295700425
MRS. REBECCA L LYNCH PA-C 1710926886
HEATH BRANDON WELTON PAC 1225262892
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.