Individual
TAYLOR OWENS AMPLEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-A, CRNA
Contact information
Practice address
4808 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 302-2921
Mailing address
2835 E 103RD PL, TULSA, OK 74137-5606
(918) 728-9832
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
93917
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200520980A
—
OK
Enumeration date
01/03/2014
Last updated
02/10/2022
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