Miranda Bohanon
Case Manager/Care Coordinator in Tahlequah, OK. Individual provider (NPI-1).
NPI number1548979321
StatusActive
Last updated in NPPESNov 21, 2022
Details
- NPI
- 1548979321
- Entity type
- Individual (NPI-1)
- Name
- Miranda Bohanon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 21, 2022
- Certification date
- Nov 20, 2022
- Last updated
- Nov 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Other names
- Miranda Downing (Professional Name)
Practice location
711 S Muskogee AveTahlequah, OK 74464-4717
Phone 918-207-0078
Mailing address
711 S Muskogee AveTahlequah, OK 74464-4717
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 101 Case Manager/Care Coordinator providers in Tahlequah · All 1,444 providers in Tahlequah
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