Individual
MRS. TESSA RAE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2401 W WRANGLER BLVD, SEMINOLE, OK 74868-1917
(405) 382-3650
(405) 382-6028
Mailing address
2401 W WRANGLER BLVD, SEMINOLE, OK 74868-1917
(405) 382-3650
(405) 382-6028
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
113788
OK
Other
Enumeration date
06/26/2017
Last updated
09/28/2022
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