Stephen Clark, NURSE PRACTITIONER
NPI #1083039085 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1083039085
- Entity Type
- Individual
- Name
- Stephen Clark, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinical Nurse Specialist - Family Health
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Feb 27, 2014
- Last Updated
- Feb 27, 2014
Practice Location
- Address
- 1013 E HAINES ST
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19138-1533
- Phone
- (215) 438-1095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Nurse Specialist - Family Health — Family Health |
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