Individual
SANDRA LEE HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
23203 S 220 RD, HENRYETTA, OK 74437-7511
(918) 650-9566
Mailing address
PO BOX 98, OKMULGEE, OK 74447-0098
(986) 509-5661
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D6243617
OK
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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