Individual
TAYLORE DAWN KUSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10512 N 110TH EAST AVE STE 300, OWASSO, OK 74055-6638
(918) 376-8900
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
(918) 579-3825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
205485
OK
363LF0000X
Family Nurse Practitioner
Primary
205485
OK
363LF0000X
Family Nurse Practitioner
5380575122
KS
Other
Enumeration date
10/02/2021
Last updated
12/03/2021
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