Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYIAN CRENSHAW
Active Sole ProprietorPoint of Service · PONCA CITY, OK
Registration Details
- NPI Number
- 1639565153
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2015 (11.031885125724 yrs)
- Last Updated
- Mar 30, 2021
- License
-
1069 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
410 FAIRVIEW AVEPONCA CITY, OK, 746011922Browse OK providers · Browse ZIP 74601
- Phone
- 5807494227
- Primary Specialty
-
Point of Service
305S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.