Individual
JENNIFER ENTESHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 715-3610
Mailing address
3650 W ROCK CREEK RD STE 100, NORMAN, OK 73072-2202
(405) 701-3418
(405) 701-3451
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
92730
OK
Other
Enumeration date
09/03/2014
Last updated
04/29/2020
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