Individual
EVELYN SEDIVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
750 NE 13TH ST, OAC 200, OKLAHOMA CITY, OK 73104-5010
(405) 271-4351
Mailing address
1122 NE 13TH ST, ORI 236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
(405) 271-1001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
21065
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100785420A
—
OK
Enumeration date
08/03/2006
Last updated
02/24/2011
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