Individual
TAMMY ANN WILLINGHAM LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 7TH ST, WOODWARD, OK 73801-3202
(580) 290-5112
(580) 254-3136
Mailing address
1220 7TH ST, WOODWARD, OK 73801-3202
(580) 290-5112
(580) 254-3136
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76722
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548507130
NPI
—
Enumeration date
04/20/2016
Last updated
01/23/2025
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