Provider Demographics
NPI:1487195657
Name:PARTON, NIKAYLA
Entity Type:Individual
Prefix:
First Name:NIKAYLA
Middle Name:
Last Name:PARTON
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 1:500 N FINANCIAL TER
Mailing Address - Street 2:SUITE G
Mailing Address - City:MUSTANG
Mailing Address - State:OK
Mailing Address - Zip Code:73064-4437
Mailing Address - Country:US
Mailing Address - Phone:405-256-5996
Mailing Address - Fax:405-265-2553
Practice Address - Street 1:500 N FINANCIAL TER
Practice Address - Street 2:SUITE G
Practice Address - City:MUSTANG
Practice Address - State:OK
Practice Address - Zip Code:73064-4437
Practice Address - Country:US
Practice Address - Phone:405-256-5996
Practice Address - Fax:405-265-2553
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator