Individual
MS. TARA ROSE CHAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP, WHNP-BC
Contact information
Practice address
825 NE 10TH ST, SUITE 3300, OKLAHOMA CITY, OK 73104-5417
(405) 271-5239
(405) 271-3727
Mailing address
825 NE 10TH ST, OKLAHOMA CITY, OK 73104-5417
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R0062577
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200473900 A
—
OK
Enumeration date
10/25/2006
Last updated
03/05/2015
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