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

PHYLLIS ELISHA WALDRUP

Active Sole Proprietor

PHYLLIS ELISHA WALDRUP is a Case Manager healthcare provider located in CATOOSA, Oklahoma. NPI 1942717624 is currently active in the NPPES registry. Verify at CMS.

Case Manager · CATOOSA, OK

Registration Details

NPI Number
1942717624
Provider Type
Individual
Gender
Female
NPI Issued
Jan 4, 2018 (8.4279503189936 yrs)
Last Updated
Mar 24, 2025
Sole Proprietor
Yes

Practice Information

Address
19320 E ADMIRAL PL STE B
CATOOSA, OK, 740153240
Browse OK providers · Browse ZIP 74015
Phone
5503918340
Primary Specialty
Case Manager
171M00000X
Additional Specialty
Case Manager

Other Case Manager Providers in CATOOSA, OK

Name Credential NPI
KERRY LEA HUBBARTT 1306273438
MS. MARY LUANN RICE 1215523444
COURTNEY RAELLEN SHELBY 1689266934
AMANDA N RUPE 1396412227
MR. JOHNNY RAY GREEN JR. 1275283921
DEVEATTEA VAUGHN 1629788484
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.