Amber R Odom-Sullivan
Individual provider Active NPI Case Manager/Care Coordinator · Wynnewood, OK
NPI 1407448368 · NPPES record last updated Feb 10, 2021
Key facts
- NPI
- 1407448368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 202 S Washita Ave
Wynnewood, OK 73098-7820 - Phone
- (405) 665-4385
- NPI assigned
- Feb 10, 2021
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
202 S Washita Ave
Wynnewood, OK 73098-7820
Mailing address
1420 E Jennings St
Wynnewood, OK 73098-1020
Phone (405) 207-8510
Other providers in Wynnewood, OK
- Moore Chiropractic and Wellness
- Keegan Bryce Moore
- Tracie Marie Mullendore
- Murray County Urgent Care PLLC
- Tawanda Mae Northcutt
- Lynet Okemwa
- Aaron Overturf
- Michael James Payne
- Alex Joseph Petty
- Bobbye Pitts
All providers in Wynnewood, OK · Case Manager/Care Coordinator in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2021. 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.