Provider Demographics
NPI:1477003069
Name:PARSONS, WILLIAM TODD (CRNA)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:TODD
Last Name:PARSONS
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4416 SPYGLASS DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-8573
Mailing Address - Country:US
Mailing Address - Phone:405-473-1980
Mailing Address - Fax:
Practice Address - Street 1:4416 SPYGLASS DRIVE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-5010
Practice Address - Country:US
Practice Address - Phone:405-473-1980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-07
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK90832163W00000X
OK90732367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse