Healthcare Provider Details

I. General information

NPI: 1366840571
Provider Name (Legal Business Name): BRITTANY ESTES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2014
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6839 S CANTON AVE
TULSA OK
74136-3402
US

IV. Provider business mailing address

17872 W COYOTE TRL
SAND SPRINGS OK
74063-4783
US

V. Phone/Fax

Practice location:
  • Phone: 918-494-0612
  • Fax: 918-481-5170
Mailing address:
  • Phone: 918-645-9013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR0097239
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: