Individual
MRS. TAMARA JO GRABEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1303 N WASHINGTON ST, WEATHERFORD, OK 73096-2443
(580) 772-2820
(580) 772-2845
Mailing address
701 CEDAR LAKE BLVD STE 120, OKLAHOMA CITY, OK 73114-7815
(405) 445-1210
(580) 203-3464
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0059923
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200013320A
—
OK
Enumeration date
08/10/2005
Last updated
05/17/2024
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