Individual
STEPHANIE M HILST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4500 S GARNETT RD, STE 919, TULSA, OK 74146-5229
(918) 664-9892
(918) 392-2945
Mailing address
4500 S GARNETT RD, STE 300, TULSA, OK 74146-5229
(918) 664-9892
(918) 392-2945
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0047515
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200105340A
—
OK
01
—
203690446001
BCBS
OK
Enumeration date
03/12/2007
Last updated
10/23/2008
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