Individual
MS. TARA NICOLE HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25551 ASPEN CT, BROKEN ARROW, OK 74014-7918
(918) 740-8878
Mailing address
25551 ASPEN CT, BROKEN ARROW, OK 74014-7918
(918) 740-8878
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0115797
OK
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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