Individual
SHELLY ALVARADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3906 TWILIGHT AVE, ENID, OK 73703-3613
(580) 554-4725
Mailing address
3906 TWILIGHT AVE, ENID, OK 73703-3613
(580) 554-4725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0062520
OK
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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