Individual
MS. TARA THIRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
10601 S WESTERN AVE STE 120, OKLAHOMA CITY, OK 73170-6215
(405) 615-3570
Mailing address
8237 SW 109TH TER, OKLAHOMA CITY, OK 73173-7350
(405) 615-3570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
80150
OK
Other
Enumeration date
06/04/2014
Last updated
10/16/2023
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