| Doctor Name: | TAUSHA ZANN SHELTON |
| NPI Number: | 1023251360 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.R.N.P. |
| License Number: | R0054948 |
| Business Practice Address: | 731 12th Ave Nw Suite #201 Ardmore, OK - 734015761 |
| Business Phone Number: | 5802249000 |
| Business Fax Number: | 5802249009 |
| Mailing Address: | 731 12th Ave Nw, Suite #201 ARDMORE |
| State: | OK |
| Postal Code: | 734015761 |
| Phone Number: | 5802249000 |
| Fax Number: | 5802249009 |
| NPI Enumeration Date: | 04/16/2009 |
| NPI Last Update Date: | 04/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R0054948 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |