Individual
MRS. TIFFANY LYNN HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
14341 COUNTY ROAD 3585, ADA, OK 74820-5311
(580) 421-5161
Mailing address
14341 COUNTY ROAD 3585, ADA, OK 74820-5311
(580) 421-5161
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
211620
OK
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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