Organization
KRISTEN CLOUSE DNP, PMHNP-BC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN MICHELLE CLOUSE APRN CNP (AGENT)
(580) 208-2395
Entity
Organization
Contact information
Practice address
108 S CENTRAL AVE, IDABEL, OK 74745-4848
(580) 208-2395
(580) 208-2396
Mailing address
108 S CENTRAL AVE, IDABEL, OK 74745-4848
(580) 208-2395
(580) 208-2396
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
99530
OK
Other
Enumeration date
02/06/2016
Last updated
02/06/2016
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