Individual provider · Type 1 NPI

Angela Dawn Cushing, PA-C

Medical Physician Assistant · Stillwater, OK

NPI number 1265661995 Active

Practice location

1815 W 6th Ave
Stillwater, OK 74074-4202

Mailing address

6600 S Yale Ave, Suite 1400
Tulsa, OK 74136-3347

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPENDING (KS)
Medical Physician Assistant Primary 363AM0700X2142 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1265661995

Angela Dawn Cushing, PA-C's National Provider Identifier is 1265661995, issued on Jul 1, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Stillwater, OK. The record was last updated on Jul 31, 2012.