Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Melissa Wallace

Individual provider Case Manager/Care Coordinator · NPI 1366804064

Melissa Wallace is a Case Manager/Care Coordinator in Miami, Oklahoma. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

111 S Treaty Rd
Miami, OK 74354-5327
Phone: (918) 500-1511
Fax: (918) 542-7374
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1366804064
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2016
Last updated in NPPESApril 25, 2016
Mailing address111 S Treaty Rd, Miami, OK 74354-5327

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