Organization
DREAM WEAVER ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAITLIN WEAVER DNP-A (OWNER)
(918) 282-9266
Entity
Organization
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
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538684428
—
OK
Enumeration date
10/16/2023
Last updated
11/03/2023
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