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Search › Oklahoma › Family Nurse Practitioner

Lista Dallis

NPI 1104468610 · on the registry since 2019

Practice

Address
1500 E Downing St Ste 214
Tahlequah, OK 74464
Phone
(918) 413-0202
Fax
(918) 431-0203
Organisation at this address
Eaglemed Llc
Tmc Pharmacy Inc
Raji M Gill Do Pc
James R Brixey Do Pc
Med-Trans Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-02-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma