Ms. Tara Rose Chavis
Nurse Practitioner - Women's Health
825 Ne 10th St Suite 3300
Oklahoma City
, Oklahoma 73104-5417
Ms. Tara Rose Chavis
Nurse Practitioner - Women's Health
825 Ne 10th St Suite 3300
Oklahoma City
, Oklahoma 73104-5417
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Ms. Tara Rose Chavis
- 825 Ne 10th St
- Oklahoma City, OK
- Zip : 73104-5417
- Phone :
Second Address
- Ms. Tara Rose Chavis
- 825 Ne 10th St Suite 3300
- Oklahoma City, OK
- Zip : 73104-5417
- Fax : (405) 271-3727
- Phone : (405) 271-5239
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Is Ms. Tara Rose Chavis a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | R0062577 | OK |
National Provider Identifier
| NPI | 1043394844 |
|---|---|
| Provider Name | Ms. Tara Rose Chavis |
| First Address | Oklahoma City, OK 73104-5417 |
| Second Address | Oklahoma City, OK 73104-5417 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2006 |
| Last Update Date | 05/03/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200473900 A | (05) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.