Healthcare Provider Details

I. General information

NPI: 1891676334
Provider Name (Legal Business Name): CHRISTINA CROW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 E VAN BUREN AVE
MCALESTER OK
74501-4245
US

IV. Provider business mailing address

PO BOX 216
HARTSHORNE OK
74547-0216
US

V. Phone/Fax

Practice location:
  • Phone: 918-421-8440
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number202582
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: