Individual
KRISTEN L HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(405) 627-8962
Mailing address
324 E 44TH ST, SAND SPRINGS, OK 74063-3168
(405) 627-8962
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0095439
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
216385
OK
Other
Enumeration date
12/11/2023
Last updated
01/28/2024
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