| Doctor Name: | MRS. CAMBER DEAN CLINE |
| NPI Number: | 1124374129 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-CNP |
| License Number: | 88840 |
| Business Practice Address: | 718 Avenue A Beaver, OK - 739323101 |
| Business Phone Number: | 5806253477 |
| Business Fax Number: | 5806253562 |
| Mailing Address: | 23 Avenue L, BEAVER |
| State: | OK |
| Postal Code: | 739323486 |
| Phone Number: | 4056127358 |
| Fax Number: | 5806254212 |
| NPI Enumeration Date: | 07/27/2012 |
| NPI Last Update Date: | 07/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 88840 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |