Individual
SHANNON BEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-0612
Mailing address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
(918) 481-5170
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
102316
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
221757
OK
367500000X
Certified Registered Nurse Anesthetist
272169
AZ
367500000X
Certified Registered Nurse Anesthetist
RNA233014
ME
Other
Enumeration date
08/19/2014
Last updated
03/19/2025
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