Phyllis Elisha Waldrup

Case Manager/Care Coordinator · Catoosa, OK

Individual Active NPI

NPI number 1942717624

Practice location

19320 E Admiral Pl Ste B
Catoosa, OK 74015-3240
Phone
(550) 391-8340

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NPI record

NPI
1942717624
Entity type
Individual (Type 1)
Enumeration date
January 4, 2018
Last updated
March 24, 2025
Certified
March 24, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —
Mental Health Counselor 101YM0800X — —

Mailing address

5409 E Xyler St
Tulsa, OK 74115-3323

About Phyllis Waldrup

Phyllis Elisha Waldrup is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 19320 E Admiral Pl Ste B, Catoosa, OK 74015-3240. The NPI number 1942717624 was assigned on January 4, 2018 and the record was last updated on March 24, 2025.

Frequently asked questions

What is the NPI number of Phyllis Elisha Waldrup?

The NPI number is 1942717624.

What is the phone number of Phyllis Waldrup?

The phone number listed for the practice location is (550) 391-8340.

Where is Phyllis Waldrup located?

19320 E Admiral Pl Ste B, Catoosa, OK 74015-3240.

What is the taxonomy code for Phyllis Waldrup?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator; 1 more listed above.

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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