Individual
TANNER SCOTT HOLSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
1303 N WASHINGTON ST, WEATHERFORD, OK 73096-2443
(580) 772-2820
Mailing address
1303 N WASHINGTON ST, WEATHERFORD, OK 73096-2443
(580) 772-2820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0129638
OK
363LF0000X
Family Nurse Practitioner
Primary
216686
OK
Other
Enumeration date
02/08/2023
Last updated
08/25/2025
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