Individual provider · Type 1 NPI

Marcus Shane Wahl, APRN

Family Nurse Practitioner · Ada, OK

NPI number 1508408311 Active

Practice location

1007 N Country Club Rd
Ada, OK 74820-2847

Fax (580) 272-1094

Mailing address

2222 W Iowa Ave
Chickasha, OK 73018-2738

Other practice locations

  • 1000 Rolling Hills Ln, Ada, OK 74820-9415 · (580) 310-9899
  • 2222 W Iowa Ave, Chickasha, OK 73018-2738 · (405) 224-8111

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X58478 (OK)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1508408311

Marcus Shane Wahl, APRN's National Provider Identifier is 1508408311, issued on Oct 14, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ada, OK. The record was last updated on Apr 16, 2025.