LATRICIA EDNA SHAMBLES NPI 1265948004

NPI Information

Latricia Edna Shambles is a peer specialist in Nowata, OK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Latricia Edna Shambles NPI is 1265948004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 W DELAWARE AVE
NOWATA, OK
ZIP 74048-616
Phone: (918) 273-1841

The enumeration date for this NPI number is 12/15/2017 and was last updated on 12/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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