Healthcare Provider Details

I. General information

NPI: 1497045454
Provider Name (Legal Business Name): TASHA WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2011
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 S PENN AVE
BARTLESVILLE OK
74003-3847
US

IV. Provider business mailing address

114 W DELAWARE AVE
NOWATA OK
74048-2601
US

V. Phone/Fax

Practice location:
  • Phone: 918-273-1841
  • Fax: 918-273-1843
Mailing address:
  • Phone: 918-273-1841
  • Fax: 918-273-1843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number225849
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: