Sukut, Tara Marie

Sukut, Tara Marie is an individual health care provider with primary practice located at 3300 Nw Expressway , Oklahoma City OK 73112-4418. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Sukut, Tara Marie can be contacted via phone (405) 949-3129.

Contact Information

Primary practice address
3300 Nw Expressway Oklahoma City OK 73112-4418
Phone: (405) 949-3129
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 71814 Oklahoma

Profile Details

NPI number 1861915985
LBN Legal business name Sukut, Tara Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2017
Last updated Dec 3rd, 2021 - about 3 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 1861915985 NPPES
Oklahoma MEDICAID 1861915985

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