Holly Ann Sutton
Individual provider Active NPI Case Manager/Care Coordinator · Roland, OK
NPI 1891096293 · NPPES record last updated Dec 15, 2022
Key facts
- NPI
- 1891096293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 310665 (OK)
- Practice address
- 109 E Ray Fine Blvd
Roland, OK 74954-5198 - Phone
- (918) 427-3344
- NPI assigned
- Nov 16, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310665 | OK | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 310665 | OK | Yes |
Addresses
Primary practice location
109 E Ray Fine Blvd
Roland, OK 74954-5198
Mailing address
109 E Ray Fine Blvd
Roland, OK 74954-5198
Phone (918) 235-4981
Other practice location 1
204 East Choctaw
Sallisaw, OK 74955-7247
Phone (918) 235-4981
Other providers in Roland, OK
- Morgan A Seubold
- Lacy Smith
- Gail Sorrell
- Beau E Sparkman
- St. Madron Medical Clinic
- Jennifer Taber
- Candace Thomas
- Heather Torres
- Tougas Chiropractic Clinic
- Bernard Michael Tougas Jr.
All providers in Roland, 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 Dec 15, 2022. 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.