Individual provider · Type 1 NPI
Lista Marie Dallis
Family Nurse Practitioner · Tahlequah, OK
NPI number
1104468610
Active
Practice location
1500 E Downing St Ste 214
Tahlequah, OK 74464-3379
Fax (918) 431-0203
Mailing address
PO Box 751
Hulbert, OK 74441-0751
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 99753 (OK) |
Family Nurse Practitioner: Definition to come...
7 other providers at this address
- MHN Care Partners PLLCGeriatric Medicine (Family Medicine) Physician Tahlequah, OK NPI 1194633909
- Angela M. Wiggins, APRN CNPFamily Nurse Practitioner Tahlequah, OK NPI 1114424942
- Ashley A. Couch, APRNFamily Nurse Practitioner Tahlequah, OK NPI 1811128028
- Heather Garde, NPFamily Nurse Practitioner Tahlequah, OK NPI 1942849617
- Kathleen Danielle Cummens, APRN, FNP-CCritical Care Medicine Registered Nurse Tahlequah, OK NPI 1477903680
- Kayla Jeanne Cagle-Colon, MDObstetrics & Gynecology Physician Tahlequah, OK NPI 1134582034
- Leslie D. Davenport, APRNFamily Nurse Practitioner Tahlequah, OK NPI 1821408410
Other family nurse practitioner providers in Tahlequah
- Nancy Ellen Denton, APRN-CNPFamily Nurse Practitioner Tahlequah, OK NPI 1013603232
- Libby Leininger Rogers, ARNPFamily Nurse Practitioner Tahlequah, OK NPI 1043409865
- Dena J. Lamons, NPFamily Nurse Practitioner Tahlequah, OK NPI 1073062386
- Florame Jamison, APRNFamily Nurse Practitioner Tahlequah, OK NPI 1093199721
- Christy Dawn Boswell, APRNFamily Nurse Practitioner Tahlequah, OK NPI 1104175736
- Angela M. Wiggins, APRN CNPFamily Nurse Practitioner Tahlequah, OK NPI 1114424942
- Donavon Baldridge, APRNFamily Nurse Practitioner Tahlequah, OK NPI 1134800964
- Kristen Taylor Vazquez, NPFamily Nurse Practitioner Tahlequah, OK NPI 1205325487
About NPI 1104468610
Lista Marie Dallis's National Provider Identifier is 1104468610, issued on Oct 16, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tahlequah, OK. The record was last updated on Feb 17, 2022.