Healthcare Provider Details

I. General information

NPI: 1205779345
Provider Name (Legal Business Name): CHANCE AIRHART APRN-CRNA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8435 COYOTE RDG
ARCADIA OK
73007-4501
US

IV. Provider business mailing address

8435 COYOTE RDG
ARCADIA OK
73007-4501
US

V. Phone/Fax

Practice location:
  • Phone: 405-531-6300
  • Fax:
Mailing address:
  • Phone: 405-531-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: MR. JOEL CHANCE AIRHART
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 405-531-6300