Individual
TAMMY L WAGSTAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
7313 S WESTERN AVE, OKLAHOMA CITY, OK 73139-2007
(405) 251-8884
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(615) 314-8069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
78819
OK
Other
Enumeration date
08/02/2018
Last updated
02/10/2023
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