Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 101777 | OK |
NPI | 1013326024 |
---|---|
Provider Name | Taylor L Claybrook |
First Address | Tulsa, OK 74104 |
Second Address | Tulsa, OK 74104-5405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2014 |
Last Update Date | 10/12/2014 |