Provider Demographics
NPI:1861803132
Name:MCALESTER, MENDI LEIGHANE (RN)
Entity type:Individual
Prefix:MRS
First Name:MENDI
Middle Name:LEIGHANE
Last Name:MCALESTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 SE 150TH RD
Mailing Address - Street 2:
Mailing Address - City:WILBURTON
Mailing Address - State:OK
Mailing Address - Zip Code:74578-7733
Mailing Address - Country:US
Mailing Address - Phone:918-448-7375
Mailing Address - Fax:
Practice Address - Street 1:2550 SE 150TH RD
Practice Address - Street 2:
Practice Address - City:WILBURTON
Practice Address - State:OK
Practice Address - Zip Code:74578-7733
Practice Address - Country:US
Practice Address - Phone:918-448-7375
Practice Address - Fax:918-465-5616
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-08
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR 0080875101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health