Provider Demographics
NPI:1043643026
Name:DIRRIM, EMMA BRUMMET (MS)
Entity Type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:BRUMMET
Last Name:DIRRIM
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:EMMA
Other - Middle Name:BRUMMET
Other - Last Name:LANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10911 N 117TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-7396
Mailing Address - Country:US
Mailing Address - Phone:918-638-9516
Mailing Address - Fax:
Practice Address - Street 1:10911 N 117TH EAST AVE
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-7396
Practice Address - Country:US
Practice Address - Phone:918-638-9516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator