Individual
KRISTEN MICHELLE CLOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN CNP
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
10/27/2015
Last updated
08/27/2025
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