Individual
KRISTY M CRUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
(405) 843-2444
Mailing address
PO BOX 248875, OKLAHOMA CITY, OK 73124-8875
(405) 843-2444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
9277488
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
R0076979
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200424760A
—
OK
Enumeration date
06/27/2008
Last updated
07/08/2014
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