IndividualActive
Bradley Shay, CRNA
NPI 1477447332 · Certified Registered Nurse Anesthetist · Jenks, OK
Provider details
- NPI number
- 1477447332
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 223401 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
220 S Elm St # 200
Jenks, OK 74037-3701
Phone: (918) 403-7144
Approximate (ZIP-level) locationGet directions
Mailing address
3519 S Wheeling Ave
Tulsa, OK 74105-2721
Additional practice locations (1)
- 1000 W Boise CirBroken Arrow, OK 74012-4900Phone: (918) 994-8000
Registry dates
- Enumerated
- 2025-06-05
- Last updated
- 2025-06-05
- Certified
- 2025-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.