MRS. Elise Diane Clark, FNP BC

NPI #1184619595 in Lima, Ohio

Provider Information

NPI Number
1184619595
Entity Type
Individual
Name
MRS. Elise Diane Clark, FNP BC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
FNP BC
Enumeration Date
Sep 13, 2005
Last Updated
Jul 1, 2025

Practice Location

Address
2875 W ELM ST
City
Lima
State
Ohio
ZIP Code
45805-2510
Phone
(419) 991-7805

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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