Individual
TASHA KAY CLEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 N CLARENCE NASH BLVD, WATONGA, OK 73772-3636
(580) 623-2233
(580) 623-2232
Mailing address
407 N CLARENCE NASH BLVD, WATONGA, OK 73772-3636
(580) 623-2233
(580) 623-2232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0129874
OK
363LF0000X
Family Nurse Practitioner
Primary
223996
OK
Other
Enumeration date
09/16/2024
Last updated
10/28/2025
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