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NPI Code Detail

MEDICARE: SHAYLON RYLEE LAND CRNA

MEDICARE: SHAYLON RYLEE LAND CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist206368OK
2163W00000XRegistered NurseR0121783OK

General Provider Information

NPI Number : 1952060006
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAYLON RYLEE LAND CRNA
Provider Business Mailing Address
First Line : 6839 S CANTON AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-3402
Country : US
Telephone Number : 918-494-0612
Fax Number : 918-481-5170
Provider Business Practice Location Address
First Line : 6161 S YALE AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-1902
Country : US
Telephone Number : 918-494-0612
Fax Number : 918-481-5170
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2021
Last Update Date : 05/14/2026

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Directions to “ SHAYLON RYLEE LAND CRNA” Practice Location

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