| Tanner Scott Holsted, APRN-CNP | |
|
1303 N Washington St, Weatherford, OK 73096-2443 | |
| (580) 772-2820 | |
| Not Available |
| Full Name | Tanner Scott Holsted |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1303 N Washington St, Weatherford, 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 |
|---|---|
| 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 |
|---|---|
| Tanner Scott Holsted, APRN-CNP 1303 N Washington St, Weatherford, OK 73096-2443 Ph: (580) 772-2820 | Tanner Scott Holsted, APRN-CNP 1303 N Washington St, Weatherford, OK 73096-2443 Ph: (580) 772-2820 |
Mrs. Kristy Renea Baker, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 N Illinois St, Weatherford, OK 73096 Phone: 580-323-1937 Fax: 580-323-1156 | |
Nicole Marie Wedel, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1303 N Washington St, Weatherford, OK 73096 Phone: 580-772-2820 | |
Mrs. Tamara Jo Grabeal, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1303 N Washington St, Weatherford, OK 73096 Phone: 580-772-2820 Fax: 580-772-2845 | |
Paisley Trevino, APRN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1315 N Washington St, Weatherford, OK 73096 Phone: 580-772-2344 | |
Kelsey Nicole Jackson, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1303 N Washington St, Weatherford, OK 73096 Phone: 580-772-2820 | |
Susan Elaine Hightower, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1303 N Washington St, Weatherford, OK 73096 Phone: 580-772-2820 | |
Courtney Linn Smith, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3727 Legacy, Weatherford, OK 73096 Phone: 580-375-4901 |