Phillips, Tara Ladawn

Phillips, Tara Ladawn is an individual health care provider with primary practice located at 410 Moonlight St , Idabel OK 74745-8108. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / General Practice. Nursing Service Providers / General Practice is her primary health care specialty. Phillips, Tara Ladawn can be contacted via phone (580) 212-1856.

Contact Information

Primary practice address
410 Moonlight St Idabel OK 74745-8108
Phone: (580) 212-1856
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 113302 Oklahoma
Nursing Service Providers / General Practice 163WG0000X 113302 Oklahoma

Profile Details

NPI number 1801378641
LBN Legal business name Phillips, Tara Ladawn
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2018
Last updated Jun 5th, 2020 - 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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