Individual
MRS. KRISTI BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
Mailing address
10512 S URBANA AVE, TULSA, OK 74137-6247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0040929
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
R0040929
OK
Other
Enumeration date
06/17/2005
Last updated
05/01/2024
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