Individual
INGER M TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6000
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60034
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60034
RN
OK
05
—
60034
—
OK
Enumeration date
12/31/2018
Last updated
12/31/2018
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