Individual
MARILYN AUSTIN-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
624 E NOBLE AVE, GUTHRIE, OK 73044-3411
(405) 471-4914
Mailing address
624 E NOBLE AVE, GUTHRIE, OK 73044-3411
(405) 471-4914
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
81876
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12150625001972
—
OK
Enumeration date
04/23/2015
Last updated
09/22/2022
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