Individual
CRYSTAL GAIL RENEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1129 S ASPEN AVE, BROKEN ARROW, OK 74012-4859
(539) 367-1253
(539) 367-3311
Mailing address
PO BOX 281, PEGGS, OK 74452-0281
(918) 708-5083
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
215764
OK
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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