NPI 1598061301 · live from the CMS NPI Registry
Tamara L Bennett-Nolley, PA-C
Physician Assistant in Tulsa, OK. National Provider Identifier 1598061301, active.
NPI record
| NPI | 1598061301 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 10901 E 48th St, Tulsa, OK 74146 |
| Practice phone | 918-749-8765 |
| Enumerated | January 27, 2011 |
| Last updated | July 6, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 1994 (OK) |
| Physician Assistant, Surgical | 363AS0400X | 1994 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.