Anita Clark, RN

NPI #1962728097 in Festus, Missouri

Provider Information

NPI Number: 1962728097
Entity Type: Individual
Name: Anita Clark, RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Apr 14, 2010
Last Updated: Apr 14, 2010

Practice Location

Address: 227 E MAIN ST
City: Festus
State: Missouri
ZIP Code: 63028-1952
Phone: (636) 296-6206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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