Misty Joy Fenton

Individual provider Active NPI Attendant Care Provider · Pawhuska, OK

NPI 1104521756 · NPPES record last updated Apr 3, 2023

Key facts

NPI
1104521756
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
301 Senior Cir
Pawhuska, OK 74056-2229
Phone
(918) 914-4723
NPI assigned
Apr 3, 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)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X OK Yes

Addresses

Primary practice location

301 Senior Cir
Pawhuska, OK 74056-2229

Mailing address

301 Senior Cir
Pawhuska, OK 74056-2229
Phone (918) 914-4723

Other providers in Pawhuska, OK

All providers in Pawhuska, OK · Attendant Care Provider in Oklahoma

Sources for this page

Verify at the official NPI Registry.