Healthcare Provider Details

I. General information

NPI: 1891350260
Provider Name (Legal Business Name): MARYANN ALMAGUER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2019
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1312 N 1ST AVE
DURANT OK
74701-2810
US

IV. Provider business mailing address

1312 N 1ST AVE
DURANT OK
74701-2810
US

V. Phone/Fax

Practice location:
  • Phone: 580-920-2069
  • Fax:
Mailing address:
  • Phone: 580-920-2069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number10605
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: