Individual
JOANNA R BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 426-1800
Mailing address
1940 S GARY PL, TULSA, OK 74104-6120
(918) 645-5926
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201502
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
201502
OK
Other
Enumeration date
04/30/2024
Last updated
06/04/2024
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