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Contact Information

INTEGRIS BLACKWELL REGIONAL HOSPITAL
710 S 13TH ST
BLACKWELL, OK74631-3700
 Phone: 580-363-2311
 Fax: 580-363-9463
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for INTEGRIS BLACKWELL REGIONAL HOSPITAL · (Female)

NPI Number 1316175755
Status Active
Credentials
Entity Individual
Enumeration date 06/24/2009
Last updated 04/13/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # PENDING
  • OK Medicaid 100700340D
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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