Kristy Renee Rodriguez, RN, CRNA | |
1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | |
(580) 354-5437 | |
Not Available |
Full Name | Kristy Renee Rodriguez |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1515 Ne Lawrie Tatum Rd, Lawton, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407271117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | NUR R 27604 (Alaska) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | NUR A 435 (Alaska) | Primary |
Entity Name | Us Health Dept Of Health & Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972694602 PECOS PAC ID: 9638081623 Enrollment ID: O20031106000399 |
Mailing Address | Practice Location Address |
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Kristy Renee Rodriguez, RN, CRNA 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 Ph: () - | Kristy Renee Rodriguez, RN, CRNA 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 Ph: (580) 354-5437 |
Manju Ani Thankachan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 | |
Christine Diane Harbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 Fax: 580-357-9984 | |
John D Fitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-591-1910 Fax: 580-536-2067 | |
Dai An Le, NP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 | |
Virginia J Shaw-scherler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-536-2010 Fax: 580-536-5773 | |
Beth A Allgood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-536-2010 Fax: 580-536-5773 | |
Kathleen Marie Feeley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 Fax: 580-357-3277 |