Holly Riddle

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

NPI 1821328485 · NPPES record last updated Jan 5, 2010

Key facts

NPI
1821328485
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
27753 S Welling Rd
Welling, OK 74471-2202
Phone
(918) 457-4999
NPI assigned
Jan 5, 2010
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

27753 S Welling Rd
Welling, OK 74471-2202

Mailing address

RR 1 Box 1200
Bunch, OK 74931-9730

Other providers in Welling, OK

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

Sources for this page

Verify at the official NPI Registry.