Individual
MRS. TAMMY HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
817 E 6TH ST, TISHOMINGO, OK 73460-1800
(580) 371-2393
Mailing address
817 E 6TH ST, TISHOMINGO, OK 73460-1800
(580) 371-2361
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
94202
OK
Other
Enumeration date
06/29/2016
Last updated
07/21/2022
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