IndividualActive
Adam Blackmon, CRNA
NPI 1053776542 · Certified Registered Nurse Anesthetist · Tulsa, OK
Provider details
- NPI number
- 1053776542
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 101534 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone: (918) 744-3664
Fax: (918) 293-3178
Approximate (ZIP-level) locationGet directions
Mailing address
1923 S Utica Ave
Tulsa, OK 74104-6520
Registry dates
- Enumerated
- 2015-12-28
- Last updated
- 2015-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.