MRS. RENISA UNDERWOOD

Case Manager/Care Coordinator

Active Individual
NPI: 1629480991

Practice Address

205 N. MAIN ST
Broken Bow, OK 74728

Phone: (580) 584-2478

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1629480991 is the National Provider Identifier for MRS. RENISA UNDERWOOD, a Case Manager/Care Coordinator provider located in Broken Bow, OK. This NPI was enumerated on May 21, 2014.
MRS. RENISA UNDERWOOD practices at 205 N. MAIN ST, Broken Bow, OK 74728.

Quick Facts

NPI
1629480991
Type
Individual
Enumerated
May 21, 2014
Last Updated
May 21, 2014

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