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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRANDA LYNN WADDELL

Active Sole Proprietor

MIRANDA LYNN WADDELL is a Case Manager healthcare provider located in PONCA CITY, Oklahoma. NPI 1770094047 is currently active in the NPPES registry. Verify at CMS.

Case Manager · PONCA CITY, OK

Registration Details

NPI Number
1770094047
Provider Type
Individual
Gender
Female
NPI Issued
Oct 13, 2017 (8.6526097979924 yrs)
Last Updated
Oct 13, 2017
Sole Proprietor
Yes

Practice Information

Address
1412 MONUMENT RD
PONCA CITY, OK, 746043620
Browse OK providers · Browse ZIP 74604
Phone
4053348353
Primary Specialty
Case Manager
171M00000X
Additional Specialty
Case Manager

Other Case Manager Providers in PONCA CITY, OK

Name Credential NPI
MS. LINDA J COATS 1912026295
MRS. SUSAN F ADKINS LADC 1801915020
MS. TERRI G WEHR 1841310422
MS. MARY E FULTZ III 1588784151
TARA HEMBREE 1841319696
MR. JOHN A FULTZ 1518086479
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.