Individual
JAMIE ANN MCANULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6839 S CANTON AVE, TULSA, OK 74136
(918) 494-0612
Mailing address
8621 E 100TH PL, TULSA, OK 74133-6258
(918) 633-0971
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
99064
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
99064
OK
Other
Enumeration date
10/27/2017
Last updated
07/27/2018
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