Andrea Boles
Individual provider Active NPI Case Manager/Care Coordinator · Durant, OK
NPI 1609568757 · NPPES record last updated May 25, 2023
Key facts
- NPI
- 1609568757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 128 N 12TH Ave
Durant, OK 74701-4718 - Phone
- (580) 745-9276
- NPI assigned
- May 25, 2023
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OK | Yes |
Addresses
Primary practice location
128 N 12TH Ave
Durant, OK 74701-4718
Mailing address
16980 Rainbow LN
Madill, OK 73446-3075
Phone (580) 371-1894
Other providers in Durant, OK
- Bmtth LLC
- Bmtth, LLC
- Megan Boatright
- Patricia Bodine
- Michael John Boger
- Amanda Bollin
- Hailey Rhay Bond
- Dawn Bonham
- Treva Lynn Bookout
- Jeania Boon
All providers in Durant, 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 May 25, 2023. 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.