Diana Witten
Individual provider Active NPI Health Educator · Prague, OK
NPI 1639628365 · NPPES record last updated Sep 22, 2016
Key facts
- NPI
- 1639628365
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Educator 174H00000X
- Practice address
- 57811 Moccasin Trail Rd
Prague, OK 74864-1136 - Phone
- (405) 831-1180
- NPI assigned
- Sep 22, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Emergency Medical Service LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Yes |
Addresses
Primary practice location
57811 Moccasin Trail Rd
Prague, OK 74864-1136
Mailing address
57811 Moccasin Trail Rd
Prague, OK 74864-1136
Phone (405) 831-1180
Other providers in Prague, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2016. 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.