Organization
TAMMY A WILLINGHAM LOOMIS
Active
Other names
Family Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY ANN WILLINGHAM LOOMIS DNP, MSN APRN-CNP (OWNER)
(580) 290-5112
Entity
Organization
Contact information
Practice address
1220 7TH ST, WOODWARD, OK 73801-3202
(580) 290-5112
Mailing address
1220 7TH ST, WOODWARD, OK 73801-3202
(580) 290-5112
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20064079A
—
OK
Enumeration date
12/08/2017
Last updated
06/16/2018
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