Individual provider · Type 1 NPI

Tina Kay Holloway, RN

Registered Nurse · Broken Arrow, OK

NPI number 1750211363 Active

Practice location

23413 E 103rd St S
Broken Arrow, OK 74014-3732

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XR0059133 (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 1750211363

Tina Kay Holloway, RN's National Provider Identifier is 1750211363, issued on May 23, 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 May 23, 2026.