Individual
TINA ANN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2000 S WHEELING AVE STE 510, TULSA, OK 74104-5642
(918) 747-5200
Mailing address
2000 S WHEELING AVE STE 510, TULSA, OK 74104-5642
(918) 747-5200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
78175
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78175
OKLAHOMA LICENSE
OK
Enumeration date
02/05/2019
Last updated
01/09/2025
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