MARANDA LEE EATON CFM NPI 1053840850

NPI Information

  • NPI: 1053840850
  • Provider Name: MARANDA LEE EATON, CFM
  • Classification: Mastectomy Fitter - 224900000X
  • Entity Type: Individual
  • Address: 1904 SE WASHINGTON BLVD
    BARTLESVILLE, OK
    ZIP 74006
  • Phone: (918) 333-6900

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NPI Details

Maranda Lee Eaton, CFM is a mastectomy fitter in Bartlesville, OK. The provider is an individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. Maranda Lee Eaton, CFM NPI is 1053840850. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1904 SE WASHINGTON BLVD
BARTLESVILLE, OK
ZIP 74006
Phone: (918) 333-6900
Fax: (918) 335-6687

The enumeration date for this NPI number is 6/6/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1224900000XMastectomy FitterCFM02743Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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