Individual
CAROL LYNN RHOADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1921 STONECIPHER DR, CHICKASAW NATION HEALTH SYSTEM, ADA, OK 74820-3439
(580) 421-6248
Mailing address
1921 STONECIPHER DR, CHICKASAW NATION HEALTH SYSTEM, ADA, OK 74820-3439
(580) 421-6248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0080710
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200034720B
—
OK
Enumeration date
08/18/2005
Last updated
01/06/2015
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