Dr Tanner Scott Holsted, APRN-CNP | |
2088 Us-81, Duncan, OK 73533 | |
(580) 606-6201 | |
Not Available |
Full Name | Dr Tanner Scott Holsted |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 2088 Us-81, Duncan, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992402101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R0129638 (Oklahoma) | Secondary |
363LF0000X | Nurse Practitioner - Family | 216686 (Oklahoma) | Primary |
Entity Name | Williams Medical Group Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300 |
Mailing Address | Practice Location Address |
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Dr Tanner Scott Holsted, APRN-CNP 2088 Us-81, Duncan, OK 73533 Ph: (580) 606-6201 | Dr Tanner Scott Holsted, APRN-CNP 2088 Us-81, Duncan, OK 73533 Ph: (580) 606-6201 |
Crystal Carol Kizarr, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1324 N Harville Rd, Duncan, OK 73533 Phone: 580-252-1373 Fax: 580-252-8336 | |
Molli Elizabeth Emerson, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2845 W Elk Ave, Duncan, OK 73533 Phone: 580-255-9797 Fax: 855-608-6602 | |
Brett Sarita Jon Locke, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2845 W Elk Ave Bldg 100, Duncan, OK 73533 Phone: 580-255-9797 | |
Ms. Kim Raye Holland, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Elk Ave, Duncan, OK 73533 Phone: 580-251-6644 Fax: 580-251-6645 | |
Angela Tiana Essary, APNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1334 N Harville Rd, Duncan, OK 73533 Phone: 405-278-8006 | |
Mr. Reggie Darnell Pennypacker, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3125 Brookwood Ave, Duncan, OK 73533 Phone: 580-786-4018 Fax: 580-786-4021 | |
Shelby Nicole Wilmes, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2560 W Elk Ave, Duncan, OK 73533 Phone: 802-529-6005 |