Healthcare Provider Details

I. General information

NPI: 1184545733
Provider Name (Legal Business Name): WENDY PARROTT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 E ROSS AVE
SAPULPA OK
74066-6423
US

IV. Provider business mailing address

27 E ROSS AVE
SAPULPA OK
74066-6423
US

V. Phone/Fax

Practice location:
  • Phone: 918-216-4999
  • Fax: 918-216-4998
Mailing address:
  • Phone: 918-216-4999
  • Fax: 918-216-4998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberW080098869
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: