Individual provider · Type 1 NPI

Alisa Tarasova, FNP

Family Nurse Practitioner · Chickasha, OK

NPI number 1043782634 Active

Practice location

304 S 29th St
Chickasha, OK 73018-2501

Fax (855) 223-1999

Mailing address

PO Box 929
Chickasha, OK 73023-0929

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR0120108 (OK)

Family Nurse Practitioner: Definition to come...

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About NPI 1043782634

Alisa Tarasova, FNP's National Provider Identifier is 1043782634, issued on Dec 20, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chickasha, OK. The record was last updated on Nov 21, 2019.