Dayna Applegate

Individual provider Active NPI Case Manager/Care Coordinator · Wagoner, OK

NPI 1003436387 · NPPES record last updated Apr 16, 2020

Key facts

NPI
1003436387
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
109 S Harrill Ave
Wagoner, OK 74467-5317
Phone
(918) 485-0242
NPI assigned
Apr 16, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

109 S Harrill Ave
Wagoner, OK 74467-5317

Mailing address

109 S Harrill Ave
Wagoner, OK 74467-5317

Other providers in Wagoner, OK

All providers in Wagoner, OK · Case Manager/Care Coordinator in Oklahoma

Sources for this page

Verify at the official NPI Registry.