Individual
CODI MICHELLE CRABTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-6863
Mailing address
18022 S CREEKSIDE DR, CLAREMORE, OK 74017-5262
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
207680
OK
Other
Enumeration date
04/25/2022
Last updated
04/17/2024
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