Individual
PATRICIA BOONE BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6839 S CANTON AVE, TULSA, OK 74136
(918) 494-0612
Mailing address
10040 S LAKEWOOD AVE, TULSA, OK 74137-5531
(918) 296-0634
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R0033848
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
33848
OK
Other
Enumeration date
06/30/2005
Last updated
08/29/2018
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