Byrom, Tara Elizabeth

Byrom, Tara Elizabeth is an individual health care provider with primary practice located at 4444 E 41St St , Tulsa OK 74135-2527. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Byrom, Tara Elizabeth can be contacted via phone (918) 619-4400.

Contact Information

Primary practice address
4444 E 41St St Tulsa OK 74135-2527
Phone: (918) 619-4400
Fax: (918) 619-4334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP847716 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 201401241NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2013042963 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 75260 Oklahoma

Profile Details

NPI number 1083954416
LBN Legal business name Byrom, Tara Elizabeth
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2013
Last updated Jul 13th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083954416 NPPES
Oklahoma MEDICAID 200478980A

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