Vivian Carpenter

Individual provider Active NPI Attendant Care Provider · McLoud, OK

NPI 1962053280 · NPPES record last updated Sep 27, 2019

Key facts

NPI
1962053280
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
7 Carolyn Dr
McLoud, OK 74851-9380
Phone
(405) 255-7855
NPI assigned
Sep 27, 2019
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
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

7 Carolyn Dr
McLoud, OK 74851-9380

Mailing address

7 Carolyn Dr
McLoud, OK 74851-9380

Other providers in McLoud, OK

All providers in McLoud, OK · Attendant Care Provider in Oklahoma

Sources for this page

Verify at the official NPI Registry.