Provider Demographics
NPI:1609603844
Name:FRAUENBERGER, SHELBI ELIZABETH
Entity type:Individual
Prefix:
First Name:SHELBI
Middle Name:ELIZABETH
Last Name:FRAUENBERGER
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:PO BOX 185
Mailing Address - Street 2:
Mailing Address - City:NOWATA
Mailing Address - State:OK
Mailing Address - Zip Code:74048-0185
Mailing Address - Country:US
Mailing Address - Phone:918-282-4915
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 185
Practice Address - Street 2:
Practice Address - City:NOWATA
Practice Address - State:OK
Practice Address - Zip Code:74048-0185
Practice Address - Country:US
Practice Address - Phone:918-282-4915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator