Provider Demographics
NPI:1871551259
Name:MCCRAY, PAMELA LYNN (ARNP)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:LYNN
Last Name:MCCRAY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 288
Mailing Address - Street 2:
Mailing Address - City:ELMORE CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73433-0288
Mailing Address - Country:US
Mailing Address - Phone:580-788-2803
Mailing Address - Fax:
Practice Address - Street 1:6465 S YALE AVE STE 310
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7805
Practice Address - Country:US
Practice Address - Phone:918-236-3000
Practice Address - Fax:918-236-3060
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR 0053330163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory