Mary A Clark in Stantonsburg - Family

Mary A Clark - NPI 1518945732

Mary A Clark is a Family in Stantonsburg, North Carolina. Mary A Clark practices all healthcare services and medical treatments related to Family. The NPI Number for Mary A Clark is 1518945732. The last update date is 2009-02-19.

Mary A Clark's current location address is 312 South Main St, Stantonsburg, North Carolina. You can contact this provider via phone number 2522382757 and fax number 2522382741. The mailing address for Mary A Clark is 312 South Main St, Stantonsburg, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary A Clark
Address 312 South Main St, Stantonsburg, North Carolina
Phone Number 2522382757
Fax Number 2522382741
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1518945732
Provider Enumeration Date 2006-01-06
Last Updated Date 2009-02-19

Provider Mailing Address Detail

Address 312 South Main St
City Stantonsburg
State North Carolina (NC)
Post Code 27883
Phone Number 2522382757
Fax Number 2522382741

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 0050-02432
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Mary A Clark

What is the unique identifier code issued to Mary A Clark by the Centers for Medicare & Medicaid Services?

The Mary A Clark has been assigned the NPI (National Provider Identifier) 1518945732. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Mary A Clark's facilities are geographically located?

The facilities of Mary A Clark are physically situated at the following location: 312 South Main St, Stantonsburg, NC, 27883.

What is the Mary A Clark's specialty and taxonomy code?

The Mary A Clark's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1518945732 to Mary A Clark?

The Centers for Medicare & Medicaid Services assigned the 1518945732 to Mary A Clark on 2006-01-06.

As of what date were the details related to Mary A Clark most recently updated or revised?

The information pertaining to Mary A Clark, including its address, specialty, and other relevant details, was last updated or revised on 2009-02-19.

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