Mara M Clarke is a Nurse Practitioner in Moline, Illinois. Mara M Clarke practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mara M Clarke is 1174619480. The last update date is 2007-07-08.
Mara M Clarke's current location address is 515 Valley View Dr, Moline, Illinois. You can contact this provider via phone number 3097571252. The mailing address for Mara M Clarke is 515 Valley View Dr, Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mara M Clarke |
|---|---|
| Address | 515 Valley View Dr, Moline, Illinois |
| Phone Number | 3097571252 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NPC |
NPI Number Detail
| NPI Number | 1174619480 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 515 Valley View Dr |
|---|---|
| City | Moline |
| State | Illinois (IL) |
| Post Code | 612656175 |
| Phone Number | 3097571252 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mara M Clarke by the Centers for Medicare & Medicaid Services?
The Mara M Clarke has been issued the NPI (National Provider Identifier) 1174619480, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mara M Clarke is physically located?
The Mara M Clarke is situated at the following address: 515 Valley View Dr, Moline, IL 612656175.
What is the Mara M Clarke's specialty and taxonomy code?
The Mara M Clarke's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did Mara M Clarke receive its 1174619480 assignment from the Centers for Medicare & Medicaid Services?
The Mara M Clarke was assigned its 1174619480 on 2006-10-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mara M Clarke most recently updated or revised?
The information pertaining to Mara M Clarke, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY