Kristen Clouse Dnp, Pmhnp-Bc, LLC

NPI #1699133520 in Idabel, Oklahoma

Provider Information

NPI Number
1699133520
Entity Type
Organization
Organization Name
Kristen Clouse Dnp, Pmhnp-Bc, LLC
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Enumeration Date
Feb 6, 2016
Last Updated
Feb 6, 2016

Practice Location

Address
108 S CENTRAL AVE
City
Idabel
ZIP Code
74745-4848
Phone
(580) 208-2395

Authorized Official

Name
KRISTEN MICHELLE CLOUSE, APRN CNP
Title
AGENT
Phone
(580) 208-2395

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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