Individual
STACEY COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8801 S 101ST EAST AVE, TULSA, OK 74133-5716
(918) 294-4000
Mailing address
11418 S KINGSTON AVE, TULSA, OK 74137-7747
(918) 873-0396
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R0114408
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
216260
OK
Other
Enumeration date
05/22/2023
Last updated
04/03/2024
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