Individual
TAMI ZAMUDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 789-6711
(405) 349-5145
Mailing address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 470-2283
(405) 349-5145
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0059736
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100120060A
—
OK
Enumeration date
10/19/2006
Last updated
03/18/2025
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