Individual
MRS. TINA KAY HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23413 E 103RD ST S, BROKEN ARROW, OK 74014-3732
(918) 724-3588
Mailing address
23413 E 103RD ST S, BROKEN ARROW, OK 74014-3732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0059133
OK
Other
Enumeration date
05/23/2026
Last updated
05/23/2026
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