IndividualActive
Alisa Tarasova, FNP
NPI 1043782634 · Family Nurse Practitioner · Chickasha, OK
Provider details
- NPI number
- 1043782634
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- R0120108 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
304 S 29th St
Chickasha, OK 73018-2501
Phone: (058) 968-0584
Fax: (855) 223-1999
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 929
Chickasha, OK 73023-0929
Registry dates
- Enumerated
- 2018-12-20
- Last updated
- 2019-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.