Individual
MS. TANI REYNOLDS CALVERT
Active
Individual
MS. TANI REYNOLDS CALVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R0094325
OK
364SG0600X
Gerontology Clinical Nurse Specialist
94325
OK
Other
Enumeration date
06/04/2020
Last updated
09/04/2020
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