Makaya Crisp
Student in an Organized Health Care Education/Training Program in Tulsa, OK. Individual provider (NPI-1).
NPI number1801683057
StatusActive
Last updated in NPPESApr 22, 2025
Details
- NPI
- 1801683057
- Entity type
- Individual (NPI-1)
- Name
- Makaya Crisp
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2025
- Certification date
- Apr 22, 2025
- Last updated
- Apr 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1111 W 17th StTulsa, OK 74107-1886
Phone 918-582-1972
Mailing address
1414 Lindley LnPryor, OK 74361-8008
Phone 918-260-2016
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