Provider Demographics
NPI:1427783331
Name:OOLOGAH FAMILY MEDICINE TANA VOGELE APRN-CNP PLLC
Entity type:Organization
Organization Name:OOLOGAH FAMILY MEDICINE TANA VOGELE APRN-CNP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VOGELE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:918-233-3310
Mailing Address - Street 1:109 S MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:OOLOGAH
Mailing Address - State:OK
Mailing Address - Zip Code:74053-3299
Mailing Address - Country:US
Mailing Address - Phone:918-233-3310
Mailing Address - Fax:918-517-2881
Practice Address - Street 1:109 S MAPLE ST
Practice Address - Street 2:
Practice Address - City:OOLOGAH
Practice Address - State:OK
Practice Address - Zip Code:74053-3299
Practice Address - Country:US
Practice Address - Phone:918-233-3310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-24
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care