Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE RANDALL RIDGWAY, CRNA
Active Sole ProprietorBLAKE RANDALL RIDGWAY, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in DURANT, Oklahoma. NPI 1649717091 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · DURANT, OK
Registration Details
- NPI Number
- 1649717091
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2017 (9.5202534727092 yrs)
- Last Updated
- Jan 24, 2017
- Licenses
-
100088 (OK)826001 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1800 W UNIVERSITY BLVDDURANT, OK, 747013006Browse OK providers · Browse ZIP 74701
- Phone
- 2812495954
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in DURANT, OK
| Name | Credential | NPI |
|---|---|---|
| GRANT ROESLER | CRNA | 1528019569 |
| MR. ROBERT JAMES AUSTIN III | CRNA | 1972778868 |
| SEAN PHILLIP KLUFA | — | 1306317078 |
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.