Brandi Nicole Shouse

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

NPI 1215559232 · NPPES record last updated May 13, 2020

Key facts

NPI
1215559232
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
105 Stoneridge Rd
Morrison, OK 73061-5800
Phone
(405) 714-2804
NPI assigned
May 13, 2020
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

105 Stoneridge Rd
Morrison, OK 73061-5800

Mailing address

105 Stoneridge Rd
Morrison, OK 73061-5800
Phone (405) 714-2804

Other providers in Morrison, OK

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

Sources for this page

Verify at the official NPI Registry.