NPI 1831138627

Justin Tate Endersby, CRNA

Practitioner Certified Registered Nurse Anesthetist Woodward, OK

Practice location

Address: 900 17th St, Woodward, OK 73801-2448
Phone: (580) 254-8492
Mailing address: Rr 1 Box 234, Woodward, OK 73801-9712

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence R0084524 (OK)

Other Nurse Anesthetist, Certified Registered providers in Oklahoma →

Registry record

NPI: 1831138627
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2006
Record last updated: 13 Jul 2026

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.