Individual
SALLY J PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2345
Mailing address
4500 S GARNETT RD, SUITE 300, TULSA, OK 74146-5229
(918) 664-9892
(918) 392-2945
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0050582
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200232940A
—
OK
01
—
P00731722
RAILROAD MEDICARE
OK
Enumeration date
01/07/2009
Last updated
08/25/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us