Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLETTA RUTH GRAYSON, SERVICE PROVIDER
Active Sole ProprietorWILLETTA RUTH GRAYSON, SERVICE PROVIDER is a Community Health Worker healthcare provider located in IDABEL, Oklahoma. NPI 1619106853 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · IDABEL, OK
Registration Details
- NPI Number
- 1619106853
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 9, 2009 (17.139335807771 yrs)
- Last Updated
- Jul 9, 2009
- License
-
0810 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
RR 1 BOX 686IDABEL, OK, 747459779Browse OK providers · Browse ZIP 74745
- Phone
- 5802865102
- Fax
- 5802865929
- Primary Specialty
-
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.