Wanda W Priddy is a Clinical in Fairfax, Oklahoma. Wanda W Priddy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wanda W Priddy is 1780853382. The last update date is 2008-06-02.
Wanda W Priddy's current location address is 301 N 2nd St, Fairfax, Oklahoma. You can contact this provider via phone number 9186423515 and fax number 9186423519. The mailing address for Wanda W Priddy is 301 N 2nd St, Fairfax, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda W Priddy |
|---|---|
| Address | 301 N 2nd St, Fairfax, Oklahoma |
| Phone Number | 9186423515 |
| Fax Number | 9186423519 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1780853382 |
|---|---|
| Provider Enumeration Date | 2008-02-27 |
| Last Updated Date | 2008-06-02 |
Provider Mailing Address Detail
| Address | 301 N 2nd St |
|---|---|
| City | Fairfax |
| State | Oklahoma (OK) |
| Post Code | 746372012 |
| Phone Number | 9186423515 |
| Fax Number | 9186423519 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3383 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3383 | OK | STATE LICENSE |
Post Comment/ Review Below
What is the Wanda W Priddy's unique identification number?
The Wanda W Priddy has been assigned the NPI (National Provider Identifier) Number 1780853382 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Wanda W Priddy's facilities are situated?
The facilities of Wanda W Priddy are physically located at the following address: 301 N 2Nd St, Fairfax, OK, 746372012.
What is the Wanda W Priddy's area of specialization and corresponding taxonomy classification?
The Wanda W Priddy's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1780853382 to Wanda W Priddy?
The Wanda W Priddy received its 1780853382 assignment from the Centers for Medicare & Medicaid Services on 2008-02-27.
When was the Wanda W Priddy's information last updated?
The Wanda W Priddy's information was last updated on 2008-06-02.