Individual
BEAU ROTRAMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1000
Mailing address
1120 S UTICA AVE, TULSA, OK 74104-4012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0131972
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
224221
OK
Other
Enumeration date
01/31/2025
Last updated
06/30/2025
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