Individual
TABER WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
Mailing address
11906 S DATE AVE, JENKS, OK 74037-3284
(918) 397-4167
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
105040
OK
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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