Individual
MRS. BEVERLY ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1060 SW 4TH ST, MOORE, OK 73160-2494
(405) 378-5491
(405) 378-5492
Mailing address
1060 SW 4TH ST, MOORE, OK 73160-2494
(405) 378-5491
(405) 378-5492
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
205019
OK
Other
Enumeration date
08/27/2021
Last updated
01/25/2023
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