Individual provider · Type 1 NPI

Latina D. Shelley, APRN, CPNP-PC

Pediatric Nurse Practitioner · Oklahoma City, OK

NPI number 1083969240 Active

Practice location

2921 SW 89th St
Oklahoma City, OK 73159-6332

Call (405) 757-7818 Map

Fax (405) 703-0645

Mailing address

PO Box 891625
Oklahoma City, OK 73189-1625

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR0106308 (OK)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1083969240

Latina D. Shelley, APRN, CPNP-PC's National Provider Identifier is 1083969240, issued on Jul 13, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Oklahoma City, OK. The record was last updated on Feb 20, 2026.