Susannah Renee Farris
Individual provider Active NPI Health Educator · Madill, OK
NPI 1174842645 · NPPES record last updated May 24, 2010
Key facts
- NPI
- 1174842645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Educator 174H00000X
- Practice address
- RR 1 Box 241Aa
Madill, OK 73446-9059 - Phone
- (580) 465-8408
- NPI assigned
- May 24, 2010
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Yes |
Addresses
Primary practice location
RR 1 Box 241Aa
Madill, OK 73446-9059
Mailing address
RR 1 Box 241Aa
Madill, OK 73446-9059
Phone (580) 465-8408
Other providers in Madill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2010. 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.