TARA DAWN BOLAND

TAHLEQUAH, OK
NPI1417519018
Former NameTARA DAWN GARTLING
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OK  207405)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: OK  207405)
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: MD  CNM-R211050)
Enumeration Date2019-07-03
Last Update Date2025-02-12
Business Address
TARA DAWN BOLAND NP
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 539-234-3002
Mailing Address
TARA DAWN BOLAND NP
605 S 75TH ST
BROKEN ARROW, OK 74014-7080
Phone number: 918-688-2970