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NPI Code Detail

MEDICARE: CAITLIN MENJIVAR

MEDICARE:   CAITLIN  MENJIVAR
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
1171400000XHealth & Wellness Coach

General Provider Information

NPI Number : 1902692155
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN MENJIVAR
Provider Business Mailing Address
First Line : 547 N 33RD WEST AVE
Second Line :
City : TULSA
State : OK
Zip : 74127-6034
Country : US
Telephone Number : 213-479-9668
Fax Number :
Provider Business Practice Location Address
First Line : 1833 S MORGAN RD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73128-7004
Country : US
Telephone Number : 213-479-9668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2025
Last Update Date : 04/15/2025

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Directions to “ CAITLIN MENJIVAR ” Practice Location

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