Masyn Elizabeth Copeland

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

NPI 1831880087 · NPPES record last updated May 18, 2023

Key facts

NPI
1831880087
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
325 S Ash St
Nowata, OK 74048-4628
Phone
(844) 458-2100
NPI assigned
May 18, 2023
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
Group: 193400000X SINGLE SPECIALTY GROUP
171M00000X Yes

Addresses

Primary practice location

325 S Ash St
Nowata, OK 74048-4628

Mailing address

PO Box 141
Delaware, OK 74027-0141
Phone (918) 323-6752

Other providers in Nowata, OK

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

Sources for this page

Verify at the official NPI Registry.