Individual
MRS. TABATHA NICOLE STEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
102 SOUTH MAIN STREET, SAND SPRINGS, OK 74063
(918) 245-2286
(918) 241-4366
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3361
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
89577
OK
363LF0000X
Family Nurse Practitioner
Primary
89577
OK
Other
Enumeration date
01/30/2015
Last updated
04/03/2018
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