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Contact Information

TANA L CLARK, RN
36640 HIGHWAY 270
WEWOKA, OK74884-4021
 Phone: 405-257-6282
 Fax: 405-257-3344
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health

163WC1500X
Indicates primary specialty

NPI Profile & details for TANA L CLARK · (Female)

NPI # 1467151878
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/24/2023
Last updated 02/24/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # R0086445
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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