Individual
DREW AYN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CRNA
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-2200
Mailing address
4017 S COLUMBIA PL, TULSA, OK 74105-8236
(918) 497-0980
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
103070
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
103070
OK
Other
Enumeration date
11/01/2017
Last updated
09/17/2021
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