Donna C Clifford, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · Pryor, OK
NPI 1780102269 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1780102269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R0090702 (OK)
- Practice address
- 231 E Graham Ave
Pryor, OK 74361-2436 - Phone
- (918) 825-1405
- Fax
- (918) 825-1406
- NPI assigned
- Sep 5, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0090702 | OK | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R0090702 | OK | Yes |
Addresses
Primary practice location
231 E Graham Ave
Pryor, OK 74361-2436
Mailing address
231 E Graham Ave
Pryor, OK 74361
Phone (918) 825-1405
Other providers in Pryor, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.