Individual
AIMY LORRAINE SCROGGINS
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) 664-2521
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0070986
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200083590A
—
OK
Enumeration date
08/13/2006
Last updated
10/19/2010
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