Provider Demographics
NPI:1124374129
Name:CLINE, CAMBER DEAN (APRN-CNP)
Entity Type:Individual
Prefix:MRS
First Name:CAMBER
Middle Name:DEAN
Last Name:CLINE
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 AVENUE L
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:OK
Mailing Address - Zip Code:73932-3486
Mailing Address - Country:US
Mailing Address - Phone:405-612-7358
Mailing Address - Fax:580-625-4212
Practice Address - Street 1:718 AVENUE A
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:OK
Practice Address - Zip Code:73932-3101
Practice Address - Country:US
Practice Address - Phone:580-625-3477
Practice Address - Fax:580-625-3562
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK88840363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily