| Tiffany Tyler, APRN-CNP | |
|
5050 E Kenosha St, Broken Arrow, OK 74014-6711 | |
| (918) 335-9492 | |
| Not Available |
| Full Name | Tiffany Tyler |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 5050 E Kenosha St, Broken Arrow, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609316264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 99349 (Oklahoma) | Primary |
| Entity Name | Ahs Oklahoma Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235182775 PECOS PAC ID: 9436122496 Enrollment ID: O20040817001197 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Tyler, APRN-CNP 5050 E Kenosha St, Broken Arrow, OK 74014-6711 Ph: (918) 355-9492 | Tiffany Tyler, APRN-CNP 5050 E Kenosha St, Broken Arrow, OK 74014-6711 Ph: (918) 335-9492 |
Carmen Kay Oakes, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3300 S Aspen Ave Ste C, Broken Arrow, OK 74012 Phone: 918-237-9627 | |
Cathleen Diane Griffin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 W Oakland St, Broken Arrow, OK 74012 Phone: 918-251-2666 | |
Mrs. Kristi Gene Sager, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4623 W Kenosha St, Broken Arrow, OK 74012 Phone: 918-693-0834 | |
Amanda Skvortsov, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 W Commercial St, Broken Arrow, OK 74012 Phone: 918-887-8300 | |
Ms. Kyndal Renee' Stevens, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-455-0414 | |
Ms. Mary Constance Starr, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 818 S Aspen Ave, Broken Arrow, OK 74012 Phone: 918-258-2952 | |
Ms. Jamie Larie Kitchens, DNP, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-455-4541 Fax: 918-455-0414 |