Individual provider · Type 1 NPI

Beverly Ann Clark, APRN-CNP

Family Nurse Practitioner · Moore, OK

NPI number 1417624362 Active

Practice location

1060 SW 4th St
Moore, OK 73160-2494

Fax (405) 378-5492

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X205019 (OK)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1417624362

Beverly Ann Clark, APRN-CNP's National Provider Identifier is 1417624362, issued on Aug 27, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moore, OK. The record was last updated on Jan 25, 2023.