Individual
CAITLIN MOORE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9729 E 79TH ST, TULSA, OK 74133-4566
(918) 250-5030
Mailing address
1601 S LEWIS PL, TULSA, OK 74104-5122
(918) 282-9266
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
106217
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
106217
OK
Other
Enumeration date
08/11/2017
Last updated
10/14/2023
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