Audra Bean
Individual provider Active NPI Case Manager/Care Coordinator · Tahlequah, OK
NPI 1104514124 · NPPES record last updated Apr 27, 2023
Key facts
- NPI
- 1104514124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 711 S Muskogee Ave
Tahlequah, OK 74464-4717 - Phone
- (918) 207-0078
- Fax
- (918) 207-0558
- NPI assigned
- Apr 27, 2023
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
711 S Muskogee Ave
Tahlequah, OK 74464-4717
Mailing address
711 S Muskogee Ave
Tahlequah, OK 74464-4717
Phone (918) 207-0078
Other providers in Tahlequah, OK
- Autumn Bartley
- Peachie Lou Barton-Daugherty
- Jacob Barton
- Barinder Paul Bassi
- Justin Charles Batt I
- Rory Bean
- Coley Michelle Beard
- Chelsey Morgan Beathard
- Dustin Ryan Beck
- Rayleigh Beck
All providers in Tahlequah, OK · Case Manager/Care Coordinator in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2023. 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.