Mr Norman Dale Cantrell, CRNA is a
Nurse Anesthetist, Certified Registered based in Owasso, Oklahoma. Mr Norman Dale Cantrell is licensed to practice in Oklahoma (license number R0025796) and his current practice location is
10502 N 110th East Ave, Owasso, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 664-9892.
NPI number for Mr Norman Dale Cantrell is 1417920471 and his current mailing address is 4500 S Garnett Rd, Ste 300, Tulsa, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417920471.
Provider's Profile
| Full Name | Mr Norman Dale Cantrell |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 10502 N 110th East Ave, Owasso, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417920471
- Provider Enumeration Date: 02/09/2006
- Last Update Date: 04/27/2009
Medical Identifiers
Medical identifiers for Mr Norman Dale Cantrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417920471 | NPI | - | NPPES |
| 100788440A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0025796 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Norman Dale Cantrell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Norman Dale Cantrell, CRNA
4500 S Garnett Rd, Ste 300,
Tulsa, OK 74146-5229
Ph: (918) 664-9892 | Mr Norman Dale Cantrell, CRNA
10502 N 110th East Ave,
Owasso, OK 74055-6655
Ph: (918) 664-9892 |
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