Tasha Kay Clewell
Nurse Practitioner, Family in Watonga, OK. Individual provider (NPI-1).
NPI number1619704475
StatusActive
Last updated in NPPESOct 28, 2025
Details
- NPI
- 1619704475
- Entity type
- Individual (NPI-1)
- Name
- Tasha Kay Clewell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2024
- Certification date
- Oct 28, 2025
- Last updated
- Oct 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 223996 | OK | Yes |
| 163W00000X | Registered Nurse | R0129874 | OK |
Practice location
407 N Clarence Nash BlvdWatonga, OK 73772-3636
Phone 580-623-2233 · Fax 580-623-2232
Mailing address
407 N Clarence Nash BlvdWatonga, OK 73772-3636
Phone 580-623-2233 · Fax 580-623-2232
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