Individual
CHRISTINE E WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1900 N 14TH ST, PONCA CITY, OK 74601-2035
(580) 765-3321
Mailing address
2056 11TH AVE, PONCA CITY, OK 74604-7020
(580) 362-2316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0068322
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100787630A
—
OK
Enumeration date
09/13/2005
Last updated
06/30/2010
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