MEDICARE: TAMARA MOORE RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	R0074571	OK
2	163W00000X	Registered Nurse	R0074541	OK

General Provider Information

NPI Number	:	1689561789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA MOORE RN

Provider Business Mailing Address
First Line	:	1306 S 38TH ST
Second Line	:
City	:	MUSKOGEE
State	:	OK
Zip	:	74401-7909
Country	:	US
Telephone Number	:	918-869-7572
Fax Number	:

Provider Business Practice Location Address
First Line	:	1306 S 38TH ST
Second Line	:
City	:	MUSKOGEE
State	:	OK
Zip	:	74401-7909
Country	:	US
Telephone Number	:	918-869-7572
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2025
Last Update Date	:	06/20/2025

Similar Medicare Providers

1891353967 — ANITA BRYANT
Practice Location Address:

110 W MARTIN LUTHER KING ST
MUSKOGEE, OK
74401-3351

Practice Phone: 918-682-0222
Practice Fax: 918-682-0221

1457034928 — DANIEL BRYCE
Practice Location Address:

350 S 40TH ST
MUSKOGEE, OK
74401-4915

Practice Phone: 918-684-2663
Practice Fax:

1578566279 — MR. BRIAN NEAL STEPHENS CRNA
Practice Location Address:

300 ROCKEFELLER DR
MUSKOGEE, OK
74401-5075

Practice Phone: 918-684-2279
Practice Fax:

1447253141 — DR. MICHAEL L SOPER M.D.
Practice Location Address:

329 S 38TH ST
MUSKOGEE, OK
74401-4945

Practice Phone: 918-687-9998
Practice Fax: 918-687-4135

1437151578 — JASON D. DANSBY MD
Practice Location Address:

3330 W OKMULGEE ST
MUSKOGEE, OK
74401-5069

Practice Phone: 918-682-4318
Practice Fax: 918-682-0615

1659373819 — DR. BRAD A. MCINTOSH MD
Practice Location Address:

3330 W OKMULGEE ST
MUSKOGEE, OK
74401-5069

Practice Phone: 918-682-4318
Practice Fax: 918-682-0615

Directions to “ TAMARA MOORE RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.