Provider Demographics
NPI:1932515855
Name:SEATON, R. RENEE (AA)
Entity Type:Individual
Prefix:
First Name:R.
Middle Name:RENEE
Last Name:SEATON
Suffix:
Gender:F
Credentials:AA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:OK
Mailing Address - Zip Code:74960-5014
Mailing Address - Country:US
Mailing Address - Phone:918-696-8137
Mailing Address - Fax:
Practice Address - Street 1:614 1/2 W OLIVE ST
Practice Address - Street 2:
Practice Address - City:STILWELL
Practice Address - State:OK
Practice Address - Zip Code:74960-2839
Practice Address - Country:US
Practice Address - Phone:918-696-2181
Practice Address - Fax:918-696-2182
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator