NPI 1003118274
Tanya L Edgell, BA
Practice location
- Address
- Rr 1,, Boley, OK 74829
- Phone
- (918) 667-3367
- Fax
- (918) 667-3387
- Mailing address
- PO Box 218, Boley, OK 74829
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003118274
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Nov 2010
- Record last updated
- 22 Nov 2010
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.