Individual provider · Type 1 NPI

Tara Dawn Boland, NP

Nurse Practitioner · Tulsa, OK

NPI number 1417519018 Active

Practice location

110 W 7th St Ste 2520
Tulsa, OK 74119-1104

Call (185) 793-8269 Map

Mailing address

605 S 75th St
Broken Arrow, OK 74014-7080

Specialties and licenses

TaxonomyCodeLicense
Advanced Practice Midwife 367A00000X207405 (OK)
Nurse Practitioner Primary 363L00000X207405 (OK)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1417519018

Tara Dawn Boland, NP's National Provider Identifier is 1417519018, issued on Jul 3, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tulsa, OK. The record was last updated on Dec 8, 2025.