Individual provider · Type 1 NPI

Mallory Tagge, APRN-CNP, AGPCNP-BC

Nurse Practitioner · Oklahoma City, OK

NPI number 1548636293 Active

Practice location

401 SW 80th St, Building D, Suite 200
Oklahoma City, OK 73139-8122

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X99510 (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 1548636293

Mallory Tagge, APRN-CNP, AGPCNP-BC's National Provider Identifier is 1548636293, issued on Aug 17, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Feb 4, 2016.