Provider Demographics
NPI:1740567270
Name:NAPIER, BETTY (RSS)
Entity Type:Individual
Prefix:MRS
First Name:BETTY
Middle Name:
Last Name:NAPIER
Suffix:
Gender:F
Credentials:RSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12352 N 1810 RD
Mailing Address - Street 2:
Mailing Address - City:ERICK
Mailing Address - State:OK
Mailing Address - Zip Code:73645-3602
Mailing Address - Country:US
Mailing Address - Phone:630-673-4455
Mailing Address - Fax:
Practice Address - Street 1:6775 BOUCHER DR
Practice Address - Street 2:SUITE 6
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-9283
Practice Address - Country:US
Practice Address - Phone:405-340-0085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK108239171M00000X
FL666171M00000X
FL227872376K00000X
OK3320295960711376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL666OtherCRSS