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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA ALEXANDRIA MOTEN, RN-BSN

Active Sole Proprietor

Medical-Surgical Nurse · WESTVILLE, OK

Registration Details

NPI Number
1760254189
Provider Type
Individual
Gender
Female
NPI Issued
Oct 30, 2023 (2.5036532361541 yrs)
Last Updated
Oct 30, 2023
License
R0136500 (OK)
Sole Proprietor
Yes

Practice Information

Address
970 ALBERTY LN
WESTVILLE, OK, 749656502
Browse OK providers · Browse ZIP 74965
Phone
9185758912
Primary Specialty
Medical-Surgical Nurse
163WM0705X
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.