Amanda Rose Gresham

Social Worker · Shawnee, OK

Individual Active NPI

NPI number 1023656675

Practice location

101 N Union Ave
Shawnee, OK 74801-7067
Phone
(405) 275-7100

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NPI record

NPI
1023656675
Entity type
Individual (Type 1)
Enumeration date
December 13, 2019
Last updated
December 13, 2019
Certified
December 13, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X — —

About Amanda Gresham

Amanda Rose Gresham is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 101 N Union Ave, Shawnee, OK 74801-7067. The NPI number 1023656675 was assigned on December 13, 2019 and the record was last updated on December 13, 2019.

Frequently asked questions

What is the NPI number of Amanda Rose Gresham?

The NPI number is 1023656675.

What is the phone number of Amanda Gresham?

The phone number listed for the practice location is (405) 275-7100.

Where is Amanda Gresham located?

101 N Union Ave, Shawnee, OK 74801-7067.

What is the taxonomy code for Amanda Gresham?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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