Most Relevant Information
Provider Data
| NPI Number: | 1003461039 |
| Provider Name: | SHARLA DENICE MCDANIEL |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/06/2019 |
| Last Updated: | 08/06/2019 |
Provider Practice Location
2410 ELIZABETH ST
MUSKOGEE
OK
744015637
Practice Location Phone/Fax
| Phone: | 9183602622 |
| Fax: |
Provider Mailing Location
2410 ELIZABETH ST
MUSKOGEE
OK
744015637
Provider Mailing Phone/Fax
| Phone: | 9183602622 |
| Fax: |