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NPI Code Detail

MEDICARE: ELVIRA DIANA REED

MEDICARE: ELVIRA DIANA REED
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 Coordinator

General Provider Information

NPI Number : 1679420236
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELVIRA DIANA REED
Provider Business Mailing Address
First Line : 7541 S MINGO RD APT 7146
Second Line :
City : TULSA
State : OK
Zip : 74133-3384
Country : US
Telephone Number : 918-314-2996
Fax Number :
Provider Business Practice Location Address
First Line : 2029 S SHERIDAN RD
Second Line :
City : TULSA
State : OK
Zip : 74112-7309
Country : US
Telephone Number : 918-587-9471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “ ELVIRA DIANA REED ” Practice Location

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