Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. RENISA UNDERWOOD
Active Sole ProprietorMRS. RENISA UNDERWOOD is a Case Manager healthcare provider located in BROKEN BOW, Oklahoma. NPI 1629480991 is currently active in the NPPES registry. Verify at CMS.
Case Manager · BROKEN BOW, OK
Registration Details
- NPI Number
- 1629480991
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 21, 2014 (12.053004665558 yrs)
- Last Updated
- May 21, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
205 N. MAIN STBROKEN BOW, OK, 747280000Browse OK providers · Browse ZIP 74728
- Phone
- 5805842478
- Fax
- 5805842478
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in BROKEN BOW, OK
| Name | Credential | NPI |
|---|---|---|
| TABITHA NICOLE FERGUSON | — | 1912341389 |
| JADE CHANTELLE BOX | BHRS | 1245668110 |
| DEANN MCMURL | — | 1437577889 |
| JESSICA PRUITT | — | 1932528007 |
| ALORA S FULGIUM | — | 1447799085 |
| MRS. TAMMY BUCKMAN | — | 1386288231 |
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.