Most Relevant Information
Provider Data
| NPI Number: | 1003697517 |
| Provider Name: | AMANDA JANE PATTON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/10/2023 |
| Last Updated: | 10/10/2023 |
Provider Practice Location
8200 NW 36TH TER
BETHANY
OK
730083532
Practice Location Phone/Fax
| Phone: | 4052643184 |
| Fax: |
Provider Mailing Location
8200 NW 36TH TER
BETHANY
OK
730083532
Provider Mailing Phone/Fax
| Phone: | 4052643184 |
| Fax: |