Coleen Clark ANP

NPI 1588981575 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1588981575
Gender Female
Enumeration Date 04/29/2010
Last Updated 04/29/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
6653 MAIN ST
WILLIAMSVILLE NY, 14221-5906, US
Phone (716) 204-4500
Fax (716) 204-4501
Business Location
6653 MAIN ST
WILLIAMSVILLE NY, 14221-5906, US
Phone (716) 204-4500
Fax (716) 204-4501
Toxanomy
Taxonomy Code 363LA2200X
License State New York
License Number 304179
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According to our database, Coleen Clark ANP NPI is 1588981575, taxonomy code is 363LA2200X and license number is 304179, license state is located at New York. Coleen Clark ANP physically located at 6653 Main St, Williamsville NY, 14221-5906. NPI Number Coleen Clark ANP has the Individual type.

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1588981575 NPI number is provided on an as is basis without warranty of any kind. 1588981575 is maintained by the National Plan & Provider Enumeration System. The contents of Coleen Clark ANP are for informational purposes only.