Individual
MONICA HEATHER CLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1992
(918) 494-2200
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
203739
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201043600A
—
OK
Enumeration date
06/21/2021
Last updated
03/09/2022
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