Individual
KATHERINE L MCGRANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-1980
Mailing address
23840 E 149TH ST S, COWETA, OK 74429-6564
(918) 279-1372
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704193811
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704193811
LICENSE NUMBER
MI
Enumeration date
05/25/2006
Last updated
07/08/2007
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