Glennda Catlett

Individual provider Active NPI Personal Care Attendant · Wagoner, OK

NPI 1295196707 · NPPES record last updated Mar 10, 2016

Key facts

NPI
1295196707
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
308 NE 2ND St
Wagoner, OK 74467-4441
Phone
(918) 485-4046
Fax
(918) 485-8710
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Wagoner Public Schools Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

308 NE 2ND St
Wagoner, OK 74467-4441

Mailing address

308 NE 2ND St
Wagoner, OK 74467-4441
Phone (918) 485-4046

Other providers in Wagoner, OK

All providers in Wagoner, OK · Personal Care Attendant in Oklahoma

Sources for this page

Verify at the official NPI Registry.