Christa Nelson, | |
5725 S 391st West Ave, Mannford, OK 74044-6013 | |
(918) 237-8019 | |
Not Available |
Full Name | Christa Nelson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 5725 S 391st West Ave, Mannford, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861890501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Oklahoma) | Secondary |
101YP2500X | Counselor - Professional | 10025 (Oklahoma) | Primary |
Entity Name | Preferred Family Healthcare, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376904086 PECOS PAC ID: 0244256246 Enrollment ID: O20151014000914 |
Mailing Address | Practice Location Address |
---|---|
Christa Nelson, 5725 S 391st West Ave, Mannford, OK 74044-6013 Ph: (918) 237-8019 | Christa Nelson, 5725 S 391st West Ave, Mannford, OK 74044-6013 Ph: (918) 237-8019 |
Lyndzey Kathleen Mason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 40226 W 33rd Pl S, Mannford, OK 74044 Phone: 918-902-3334 | |
Angel Norrid, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5725 S 391st West Ave, Mannford, OK 74044 Phone: 918-852-6689 | |
Angela Mackey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 154 Coonrod Ave, Mannford, OK 74044 Phone: 918-281-5465 |