Individual
MRS. MICHELLE RENEE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CRNA
Contact information
Practice address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 426-1800
(918) 748-7688
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
89398
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200479680A
—
OK
Enumeration date
02/13/2013
Last updated
08/13/2025
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