Individual
EMILY ESTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
(918) 664-9892
(918) 664-2521
Mailing address
PO BOX 268860, OKLAHOMA CITY, OK 73126-8860
(918) 664-9892
(918) 664-2521
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0073283
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200071970A
—
OK
Enumeration date
08/02/2006
Last updated
11/18/2016
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