Shailey Aleice Standingwater
Case Manager/Care Coordinator in Tulsa, OK. Individual provider (NPI-1).
NPI number1962005306
StatusActive
Last updated in NPPESNov 19, 2020
Details
- NPI
- 1962005306
- Entity type
- Individual (NPI-1)
- Name
- Shailey Aleice Standingwater
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2020
- Certification date
- Nov 19, 2020
- Last updated
- Nov 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2325 S Harvard AveTulsa, OK 74114-3300
Phone 918-712-4301
Mailing address
14609 E 12th StTulsa, OK 74108-4519
Phone 918-814-4576
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