NPI 1043686686

Fern Angela Caudle

Organisation Health Maintenance Organization Ardmore, OK

Practice location

Address: 150 Whipperwill St, Ardmore, OK 73401-0644
Phone: (580) 504-9976

Authorised official

Name: Fern Angela Caudle
Title: Registered Nurse
Phone: (580) 504-9976

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 74581 (OK)

Other Health Maintenance Organization providers in Oklahoma →

Registry record

NPI: 1043686686
Entity type: Organization
NPI issued: 18 Aug 2015
Record last updated: 18 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.