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

Mrs. Renisa Underwood

Individual provider Case Manager/Care Coordinator · NPI 1629480991

Mrs. Renisa Underwood is a Case Manager/Care Coordinator in Broken Bow, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014
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Practice location Address checks out

205 N Main St
Broken Bow, OK 74728-0000
Phone: (580) 584-2478
Fax: (580) 584-2478
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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 number1629480991
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 21, 2014
Last updated in NPPESMay 21, 2014

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