IndividualActive
Angela Rasberry-Shannon
NPI 1912762154 · Community Health Worker · Ardmore, OK
Provider details
- NPI number
- 1912762154
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
2021 4th Ave Nw Trlr 134
Ardmore, OK 73401-2525
Phone: (405) 695-0390
Approximate (ZIP-level) locationGet directions
Mailing address
2021 4th Ave Nw Trlr 134
Ardmore, OK 73401-2525
Registry dates
- Enumerated
- 2024-02-16
- Last updated
- 2024-02-16
- Certified
- 2024-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.