Provider Demographics
NPI:1700274099
Name:ARMSTRONG, BRIGETTE LASHALL
Entity Type:Individual
Prefix:
First Name:BRIGETTE
Middle Name:LASHALL
Last Name:ARMSTRONG
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 1:2500 THOMAS DR
Mailing Address - Street 2:#1421
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-2183
Mailing Address - Country:US
Mailing Address - Phone:405-535-0021
Mailing Address - Fax:
Practice Address - Street 1:2500 THOMAS DR
Practice Address - Street 2:#1421
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-2183
Practice Address - Country:US
Practice Address - Phone:405-535-0021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management