Andrea Gail Heilig

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

NPI 1639416233 · NPPES record last updated Jan 16, 2013

Key facts

NPI
1639416233
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
S081307288 (OK)
Practice address
17794 South 580 Road
Fairland, OK 74343
Phone
(918) 452-3335
NPI assigned
Jan 16, 2013
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

State licenses

LicenseStateTypeSpecialty
S081307288OKMDCase Manager/Care Coordinator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X S081307288 OK Yes

Addresses

Primary practice location

17794 South 580 Road
Fairland, OK 74343

Mailing address

PO Box 412
Fairland, OK 74343-0412
Phone (918) 541-4539

Other names

  • Miss Andrea Gail Crafton Former name

Other providers in Fairland, OK

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

Sources for this page

Verify at the official NPI Registry.