Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tammy Wagstaff, DNP, Aprn-Cnp, PLLC

Organization Nurse Practitioner · NPI 1508405309

Tammy Wagstaff, DNP, Aprn-Cnp, PLLC is a Nurse Practitioner in Oklahoma City, Oklahoma. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5705 NW 132nd St
Oklahoma City, OK 73142-4437
Phone: (405) 409-2897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1508405309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Wagstaff — Owner · (405) 409-2897
NPI enumeratedDecember 27, 2019
Last updated in NPPESDecember 27, 2019
Certification dateDecember 27, 2019
Mailing address16208 Juliet Dr, Edmond, OK 73013-9235

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