MEDICARE: ANGELA D CRAMER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1356519623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA D CRAMER

Provider Business Mailing Address
First Line	:	6602 E 73RD PL
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-2723
Country	:	US
Telephone Number	:	918-728-8657
Fax Number	:

Provider Business Practice Location Address
First Line	:	6602 E 73RD PL
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-2723
Country	:	US
Telephone Number	:	918-728-8657
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2008
Last Update Date	:	02/20/2008

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Directions to “ ANGELA D CRAMER ” Practice Location

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