Individual
ALYSE VORONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-0612
Mailing address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
131918
OK
367500000X
Certified Registered Nurse Anesthetist
209.016827
IL
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.019709
OH
Other
Enumeration date
10/28/2017
Last updated
03/22/2022
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