Mr. NICHOLAS PAUL BLACK CRNA
Individual Provider (NPI-1)
Active
Nurse Anesthetist, Certified Registered
Provider Information
- NPI Number
1780822163- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CRNA
- Status
- Active
Contact & Location
- Address
- 1201 HEALTH CENTER PKWY, YUKON, OK, 730996381
- Phone
- (405) 717-6800
- Fax
- (405) 717-7964
Specialties & Taxonomies
Nurse Anesthetist, Certified Registered
Primary License: OK #94051