Individual
STEFANIE GONSALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 STANTON L YOUNG BLVD STE 1140, OKLAHOMA CITY, OK 73104-5036
(405) 271-8695
Mailing address
PO BOX 26901, OKLAHOMA CITY, OK 73126-0901
(405) 291-4351
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
210254
OK
Other
Enumeration date
07/27/2022
Last updated
10/24/2022
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