Provider Demographics
NPI:1861708638
Name:CONDLEY, BETH ANNE (ARNP, CPNP-AC, MSN)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:ANNE
Last Name:CONDLEY
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Gender:F
Credentials:ARNP, CPNP-AC, MSN
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Mailing Address - Street 1:5300 N INDEPENDENCE AVE
Mailing Address - Street 2:STE 280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:405-951-2350
Mailing Address - Fax:405-594-5172
Practice Address - Street 1:3300 NW EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4418
Practice Address - Country:US
Practice Address - Phone:405-951-2350
Practice Address - Fax:405-594-5172
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2017-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK87081363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics