Miss Virginia Porter Trammell, RD/LD | |
4308 W Edgewater St, Broken Arrow, OK 74012-9433 | |
(918) 645-3353 | |
Not Available |
Full Name | Miss Virginia Porter Trammell |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 4308 W Edgewater St, Broken Arrow, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477106300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 2426 (Oklahoma) | Primary |
Provider Name | Nutrition Specialists Of Northeastern Oklahoma |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902299639 PECOS PAC ID: 5991117129 Enrollment ID: O20201214000080 |
Mailing Address | Practice Location Address |
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Miss Virginia Porter Trammell, RD/LD 4308 W Edgewater St, Broken Arrow, OK 74012-9433 Ph: (918) 645-3353 | Miss Virginia Porter Trammell, RD/LD 4308 W Edgewater St, Broken Arrow, OK 74012-9433 Ph: (918) 645-3353 |
Joleenrd Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6336 S 116th East Ave, Broken Arrow, OK 74012 Phone: 918-280-8456 Fax: 855-438-6802 | |
Marcia Curley, RDN Dietitian Medicare: May Accept Medicare Assignments Practice Location: 4301 W Broadway St, Broken Arrow, OK 74012 Phone: 918-638-8949 | |
Kelli M Warren, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 27761 E 61st St S, Broken Arrow, OK 74014 Phone: 918-357-1501 Fax: 918-357-1501 | |
Isabelle Mills, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1201 W Jackson St, Broken Arrow, OK 74012 Phone: 918-899-5406 | |
Heather Steele, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 E Kenosha St, Broken Arrow, OK 74012 Phone: 918-251-5800 Fax: 918-251-2926 | |
Ms. Cheryl L Smith, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1461 E Omaha St, Apt. B2, Broken Arrow, OK 74012 Phone: 918-576-4583 | |
Mrs. Brooke Haley Mcintyre, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 28149 E 97th St S, Broken Arrow, OK 74014 Phone: 918-408-0576 |