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Individual

CLAYTON WOMACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPNP-AC

Contact information

Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2112
Mailing address
5219 CITY BANK PKWY STE 35, LUBBOCK, TX 79407-3545
(806) 761-0333
(806) 782-0097

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP129134
TX
363LP0200X
Pediatric Nurse Practitioner
AP129134
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
323647
AZ

Other

Enumeration date
10/13/2015
Last updated
11/13/2025
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