Individual
CONNOR CLOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
5305 W VILLAGE PKWY, ROGERS, AR 72758-8102
(479) 480-4892
Mailing address
3600 S NATIONAL AVE, SPRINGFIELD, MO 65807-7311
(417) 322-6622
(417) 350-1935
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
214552
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261296758
—
AR
05
—
420098637
—
MO
Enumeration date
01/15/2021
Last updated
03/04/2022
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