Individual
MS. PATRICIA A CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4800 S 109TH E AVE, TULSA, OK 74146
(918) 742-2502
(918) 745-9750
Mailing address
PO BOX 470191, TULSA, OK 74147-0191
(918) 742-2502
(918) 745-9750
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0035956
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5518383
AETNA PROVIDER
OK
Enumeration date
08/12/2005
Last updated
07/08/2007
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