IndividualActive
Ahonesti Mallory, LPN
NPI 1851152789 · Licensed Practical Nurse · Langley, OK
Provider details
- NPI number
- 1851152789
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0066111 (OK)
Specialties & taxonomies
Nursing Service Providers
Practice location
594 Eagle Point Rd
Langley, OK 74350-0032
Phone: (918) 934-4863
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 32
Strang, OK 74367-0032
Registry dates
- Enumerated
- 2024-01-18
- Last updated
- 2024-01-18
- Certified
- 2024-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.