Individual
TARA POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1505 E MAIN ST, STIGLER, OK 74462-2804
(918) 421-3500
Mailing address
PO BOX 194, TALIHINA, OK 74571-0194
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
211701
OK
Other
Enumeration date
02/13/2023
Last updated
04/12/2023
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