Individual
TAMARA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1306 S 38TH ST, MUSKOGEE, OK 74401-7909
(918) 869-7572
Mailing address
1306 S 38TH ST, MUSKOGEE, OK 74401-7909
(918) 869-7572
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0074541
OK
163W00000X
Registered Nurse
R0074571
OK
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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