TARA LADAWN PHILLIPS

IDABEL, OK
NPI1801378641
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WG0000X Registered Nurse, General Practice
(Licence: OK  113302)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: OK  113302)
Enumeration Date2018-08-29
Last Update Date2020-06-05
Business Address
TARA LADAWN PHILLIPS FNP-C
410 MOONLIGHT ST
IDABEL, OK 74745-8108
Phone number: 580-212-1856
Mailing Address
TARA LADAWN PHILLIPS FNP-C
PO BOX 1837
IDABEL, OK 74745-1837
Phone number: 580-212-8624