MS. Wanda Kaye Clark, FNP
NPI #1043213457 in Rock Hill, South Carolina
Provider Information
- NPI Number
- 1043213457
- Entity Type
- Individual
- Name
- MS. Wanda Kaye Clark, FNP
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP
- Enumeration Date
- May 31, 2005
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 1151 CAMDEN AVE
- City
- Rock Hill
- State
- South Carolina
- ZIP Code
- 29732-3014
- Phone
- (803) 909-6363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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