Provider Demographics
NPI:1699800037
Name:ROBERTS, MARCI ELAINE (BA CMD)
Entity type:Individual
Prefix:MS
First Name:MARCI
Middle Name:ELAINE
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:BA CMD
Other - Prefix:
Other - First Name:MARCI
Other - Middle Name:ELAINE
Other - Last Name:SCHAUF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA CMD
Mailing Address - Street 1:650 S PEORIA
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74120-4429
Mailing Address - Country:US
Mailing Address - Phone:918-587-9471
Mailing Address - Fax:918-560-0137
Practice Address - Street 1:2325 S HARVARD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-3300
Practice Address - Country:US
Practice Address - Phone:918-712-4301
Practice Address - Fax:918-712-3409
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator