Individual
TABATHYA TALIAFERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
12101 N MACARTHUR BLVD STE 280, OKLAHOMA CITY, OK 73162-1800
(405) 294-4243
(405) 294-4127
Mailing address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 223-0447
(580) 223-2989
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0092913
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0092913
STATE LICENSE
OK
Enumeration date
06/02/2014
Last updated
07/31/2025
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