Individual
CARISSA R. VANDAGRIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
(918) 481-5170
Mailing address
10920 S SANDUSKY AVE, TULSA, OK 74137-7115
(918) 299-6455
(918) 299-2752
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0027998
OK
Other
Enumeration date
06/21/2005
Last updated
06/11/2010
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