Individual
TIFFANY J MCCRABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1200 N PHILLIPS AVE, SUITE 9100, OKLAHOMA CITY, OK 73104-4600
(405) 271-2234
Mailing address
1122 NE 13TH ST, ORI236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0071549
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20043430A
—
OK
Enumeration date
03/11/2006
Last updated
06/06/2011
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