Individual provider · Type 1 NPI

Tara Nicole Holloway, RN

Registered Nurse · Broken Arrow, OK

NPI number 1528990488 Active

Practice location

25551 Aspen Ct
Broken Arrow, OK 74014-7918

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XR0115797 (OK)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1528990488

Tara Nicole Holloway, RN's National Provider Identifier is 1528990488, issued on Jun 2, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Jun 2, 2026.