Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISTA MARIE DALLIS
ActiveLISTA MARIE DALLIS is a Family Nurse Practitioner healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1104468610 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · TAHLEQUAH, OK
Registration Details
- NPI Number
- 1104468610
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2019 (6.8083471004183 yrs)
- Last Updated
- Feb 17, 2022
- License
-
99753 (OK)
Practice Information
- Address
-
1500 E DOWNING ST STE 214TAHLEQUAH, OK, 744643379Browse OK providers · Browse ZIP 74464
- Phone
- 9184130202
- Fax
- 9184310203
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in TAHLEQUAH, OK
| Name | Credential | NPI |
|---|---|---|
| MS. SHERRI LOU TRAMMEL | ARNP | 1619900727 |
| LIBBY LEININGER ROGERS | ARNP | 1043409865 |
| ASHLEY A COUCH | APRN | 1811128028 |
| MRS. ANGELINE MARIE WICKLIFFE | ARNP | 1427351519 |
| CHRISTY DAWN BOSWELL | APRN | 1104175736 |
| LORIE LILLIAN TRENTHAM | APRN, CNP | 1467862458 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.