Provider Demographics
NPI:1154074805
Name:ESPARZA, NAOMI ANN
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:ANN
Last Name:ESPARZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 LYNNWOOD CT
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-4414
Mailing Address - Country:US
Mailing Address - Phone:918-876-2195
Mailing Address - Fax:
Practice Address - Street 1:933 LYNNWOOD CT
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-4414
Practice Address - Country:US
Practice Address - Phone:918-876-2195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator