Individual provider · NPI-1

Shaiannea Rae Downing

Case Management · Muskogee, OK

NPI number1255904108
StatusActive
Last updated in NPPESJul 20, 2021

Details

NPI
1255904108
Entity type
Individual (NPI-1)
Name
Shaiannea Rae Downing
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 20, 2021
Certification date
Jul 19, 2021
Last updated
Jul 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

1139 N Main St
Muskogee, OK 74401-4441

Phone 918-687-7064

Mailing address

1139 N Main St
Muskogee, OK 74401-4441

Phone 918-687-7064

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