Diana June Warren

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

NPI 1053748657 · NPPES record last updated Sep 27, 2013

Key facts

NPI
1053748657
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
43041 S Booth
Leflore, OK 74942-0052
Phone
(918) 753-2362
Fax
(918) 653-2525
NPI assigned
Sep 27, 2013
Sex
Female
Sole proprietor
No

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 OK Yes

Addresses

Primary practice location

43041 S Booth
Leflore, OK 74942-0052

Mailing address

PO Box 52
Leflore, OK 74942-0052
Phone (918) 753-2362

Other providers in Leflore, OK

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

Sources for this page

Verify at the official NPI Registry.