Sylvia Clark
Individual provider Active NPI Personal Care Attendant · Wagoner, OK
NPI 1043671548 · NPPES record last updated Mar 10, 2016
Key facts
- NPI
- 1043671548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 308 NE 2ND St
Wagoner, OK 74467-4441 - Phone
- (918) 485-4046
- NPI assigned
- Mar 10, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wagoner Public Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
308 NE 2ND St
Wagoner, OK 74467-4441
Mailing address
308 NE 2ND St
Wagoner, OK 74467-4441
Phone (918) 485-4046
Other providers in Wagoner, OK
- Karla Maria Chavez
- Lori Kim Childs
- City of Wagoner
- Brenda Gayle Clark
- Michael D Clark
- Jeremiah Thomas Cleveland
- Gayle Cline
- CMG Family Clinic
- Norma C Cobb
- Harry O Colbert III
All providers in Wagoner, OK · Personal Care Attendant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.