Healthcare Provider Details

I. General information

NPI: 1033437728
Provider Name (Legal Business Name): ANITA CAWLFIELD BA, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2010
Last Update Date: 05/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 E BROADWAY ST
CUSHING OK
74023-3334
US

IV. Provider business mailing address

114 E BROADWAY ST
CUSHING OK
74023-3334
US

V. Phone/Fax

Practice location:
  • Phone: 918-225-1225
  • Fax: 405-624-1776
Mailing address:
  • Phone: 918-225-1225
  • Fax: 405-624-1776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: