Individual
TARA ALEXANDRIA MOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-BSN
Contact information
Practice address
970 ALBERTY LN, WESTVILLE, OK 74965-6502
(918) 575-8912
Mailing address
970 ALBERTY LN, WESTVILLE, OK 74965-6502
(918) 575-8912
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R0136500
OK
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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