Individual
REGAN L GUDGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-0612
(918) 481-5170
Mailing address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
(918) 481-5170
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024171900
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
128026
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538407689
—
VA
Enumeration date
01/24/2013
Last updated
05/23/2019
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