Organization · Type 2 NPI

Providence Physician Group Inc

Certified Registered Nurse Anesthetist · Muskogee, OK

NPI number 1861436636 Active

Practice location

300 Rockefeller Dr
Muskogee, OK 74401-5075

Fax (405) 948-6507

Mailing address

PO Box 1664
Muskogee, OK 74402-1664

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000XNone listed
Certified Registered Nurse Anesthetist Primary 367500000XNone listed

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1861436636

Providence Physician Group Inc's National Provider Identifier is 1861436636, issued on Jun 15, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Muskogee, OK. The record was last updated on Sep 11, 2025.