Rashelle Vaughn

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

NPI 1457766693 · NPPES record last updated Jun 26, 2014

Key facts

NPI
1457766693
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
54814 County Road 504
Rose, OK 74364-1325
Phone
(918) 798-0163
NPI assigned
Jun 26, 2014
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)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

54814 County Road 504
Rose, OK 74364-1325

Mailing address

54814 County Road 504
Rose, OK 74364-1325
Phone (918) 798-0163

Other providers in Rose, OK

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

Sources for this page

Verify at the official NPI Registry.