Individual
TARA HERREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
100 NW 63RD ST STE 100, OKLAHOMA CITY, OK 73116-8208
(405) 842-4435
Mailing address
100 NW 63RD ST STE 100, OKLAHOMA CITY, OK 73116-8208
(405) 842-4435
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
105191
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201585
OK
Other
Enumeration date
10/11/2012
Last updated
03/15/2021
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