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Contact Information

TEGAN MOORE, RN
5200 EAST INTERSTATE 240 SERVICE ROAD
OKLAHOMA CITY, OK73135
 Phone: 405-628-6129
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for TEGAN MOORE · (Female)

NPI Number 1659208627
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 05/05/2026
Last updated 05/05/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • OK License # R0108298
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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