Willoughby, Tamalya Lyn

Willoughby, Tamalya Lyn is an individual health care provider with primary practice located at 2307 Gordon Cooper Dr , Shawnee OK 74801-9007. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Willoughby, Tamalya Lyn can be contacted via phone (405) 878-4693.

Contact Information

Primary practice address
2307 Gordon Cooper Dr Shawnee OK 74801-9007
Phone: (405) 878-4693
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 0050130 Oklahoma

Profile Details

NPI number 1972857654
LBN Legal business name Willoughby, Tamalya Lyn
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2012
Last updated Nov 2nd, 2012 - about 12 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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