NPI 1164819504 · live from the CMS NPI Registry
Marilyn Austin-Clark
Nurse Practitioner, Family in Guthrie, OK. National Provider Identifier 1164819504, active.
NPI record
| NPI | 1164819504 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 624 E Noble Ave, Guthrie, OK 73044 |
| Practice phone | 405-471-4914 |
| Enumerated | April 23, 2015 |
| Last updated | September 22, 2022 |
| Sole proprietor | No |
| Other names | Marilyn Clark |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 81876 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.