Individual
SHARON DENISE ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
Mailing address
14350 N 106TH EAST AVE, COLLINSVILLE, OK 74021-3755
(918) 519-7224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 0081091
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
81091
OK
367500000X
Certified Registered Nurse Anesthetist
R 0081091
OK
Other
Enumeration date
12/22/2009
Last updated
01/30/2020
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