Healthcare Provider Details

I. General information

NPI: 1386787000
Provider Name (Legal Business Name): CHRISTA RUTH SPANICH CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTA RUTH HUDGINS RN

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 11/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 S HARVARD AVE
TULSA OK
74114-3300
US

IV. Provider business mailing address

650 S PEORIA
TULSA OK
74120-4429
US

V. Phone/Fax

Practice location:
  • Phone: 918-712-4301
  • Fax: 918-560-1399
Mailing address:
  • Phone: 918-587-9471
  • Fax: 918-560-1399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number81835
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: