NPI 1013451939

Clinton Alsup

Practitioner Certified Registered Nurse Anesthetist Tulsa, OK

Practice location

Address: 1120 S Utica Ave, Tulsa, OK 74104-4012
Phone: (800) 939-7440
Mailing address: 10937 S Elgin Ave, Jenks, OK 74037-2643

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 117129 (OK)

Other Nurse Anesthetist, Certified Registered providers in Oklahoma →

Registry record

NPI: 1013451939
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Dec 2016
Record last updated: 12 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.