IndividualActive
Richard Fortune, CRNA
NPI 1760475412 · Certified Registered Nurse Anesthetist · Geronimo, OK
Provider details
- NPI number
- 1760475412
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- R0048255 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
412 Sw Landmark Circle
Geronimo, OK 73543
Phone: (580) 357-8198
Approximate (ZIP-level) locationGet directions
Mailing address
412 Sw Landmark Circle
Geronimo, OK 73543
Registry dates
- Enumerated
- 2005-08-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.