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NPI Code Detail

MEDICARE: SVETLANA SANCLEMENT CRNA

MEDICARE: SVETLANA SANCLEMENT 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 Anesthetist266291MA

General Provider Information

NPI Number : 1174677918
Entity Type Code : Individual
Provider Name (Legal Business Name) : SVETLANA SANCLEMENT CRNA
Provider Business Mailing Address
First Line : 750 NE 13TH ST STE 200
Second Line : OKLAHOMA ALLERGY CLINIC BUILDING
City : OKLAHOMA CITY
State : OK
Zip : 73104-5024
Country : US
Telephone Number : 405-271-4351
Fax Number :
Provider Business Practice Location Address
First Line : 750 NE 13TH ST STE 200
Second Line : OKLAHOMA ALLERGY CLINIC BUILDING
City : OKLAHOMA CITY
State : OK
Zip : 73104-5024
Country : US
Telephone Number : 405-271-4351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 02/08/2011

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Directions to “ SVETLANA SANCLEMENT CRNA” Practice Location

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