Individual
KRISTY RENEE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5437
Mailing address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NUR R 27604
AK
367500000X
Certified Registered Nurse Anesthetist
Primary
NUR A 435
AK
Other
Enumeration date
03/04/2014
Last updated
03/24/2014
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