Chavis, Tara Rose

Chavis, Tara Rose is an individual health care provider with primary practice located at 825 Ne 10Th St Suite 3300, Oklahoma City OK 73104-5417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Chavis, Tara Rose can be contacted via phone (405) 271-5239.

Contact Information

Primary practice address
825 Ne 10Th St Suite 3300 Oklahoma City OK 73104-5417
Phone: (405) 271-5239
Fax: (405) 271-3727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R0062577 Oklahoma

Profile Details

NPI number 1043394844
LBN Legal business name Chavis, Tara Rose
Credentials APRN-CNP, WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Mar 5th, 2015 - about 9 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 1043394844 NPPES
Oklahoma MEDICAID 200473900 A

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