Diana NA Hames

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

NPI 1285126367 · NPPES record last updated Jun 4, 2018

Key facts

NPI
1285126367
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
31110 Pocohontas Rd
Wister, OK 74966-9142
Phone
(918) 839-8299
NPI assigned
Jun 4, 2018
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 Yes

Addresses

Primary practice location

31110 Pocohontas Rd
Wister, OK 74966-9142

Mailing address

31110 Pocohontas Rd
Wister, OK 74966-9142
Phone (918) 839-8299

Other providers in Wister, OK

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

Sources for this page

Verify at the official NPI Registry.