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NPI Code Detail

MEDICARE: MIRANDA CULWELL

MEDICARE:   MIRANDA  CULWELL
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
1171M00000XCase Manager/Care CoordinatorOK

General Provider Information

NPI Number : 1427987163
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRANDA CULWELL
Provider Business Mailing Address
First Line : 3100 MEDICAL PKWY
Second Line :
City : CLAREMORE
State : OK
Zip : 74017-1088
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3100 MEDICAL PKWY
Second Line :
City : CLAREMORE
State : OK
Zip : 74017-1088
Country : US
Telephone Number : 844-458-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ MIRANDA CULWELL ” Practice Location

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