IndividualActive
Krystal Roth
NPI 1962281295 · Clinical Nurse Specialist · Tulsa, OK
Provider details
- NPI number
- 1962281295
- Entity type
- Individual
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 215355 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1815 E 15th St
Tulsa, OK 74104-4610
Phone: (918) 809-6205
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4769
Tulsa, OK 74159-0769
Registry dates
- Enumerated
- 2023-09-26
- Last updated
- 2023-09-26
- Certified
- 2023-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.