Individual provider · Type 1 NPI
Tamara Jane Carol Dawn Degenhardt, APRN
Family Nurse Practitioner · El Reno, OK
NPI number
1922578707
Active
Practice location
4205 OK-66
El Reno, OK 73036-4909
Fax (405) 319-7675
Mailing address
809 Firefork Ave
Yukon, OK 73099-0504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 91127 (OK) |
Family Nurse Practitioner: Definition to come...
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About NPI 1922578707
Tamara Jane Carol Dawn Degenhardt, APRN's National Provider Identifier is 1922578707, issued on Dec 5, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in El Reno, OK. The record was last updated on Jun 1, 2023.