Individual
MOLLIE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1002 E CHERRY ST, CUSHING, OK 74023-4102
(918) 306-4515
(918) 306-4519
Mailing address
1002 E CHERRY ST, CUSHING, OK 74023-4102
(918) 306-4515
(918) 306-4519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
119397
OK
Other
Enumeration date
07/06/2019
Last updated
07/06/2019
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