Karen Shepard Clark RN, MS, CRNP, ACHPN

NPI 1073581518 - Nurse Practitioner - 363LG0600X

NPI Details
NPI 1073581518
Gender Female
Enumeration Date 03/10/2006
Last Updated 10/19/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1100 GRAMPIAN BLVD
WILLIAMSPORT PA, 17701-1909, US
Phone (570) 320-7680
Fax (570) 320-7898
Business Location
1201 GRAMPIAN BLVD
SUITE 1K
WILLIAMSPORT PA, 17701-1900, US
Phone
Fax
Toxanomy
Taxonomy Code 363LG0600X
License State Pennsylvania
License Number TP003017H
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According to our database, Karen Shepard Clark RN, MS, CRNP, ACHPN NPI is 1073581518, taxonomy code is 363LG0600X and license number is TP003017H, license state is located at Pennsylvania. Karen Shepard Clark RN, MS, CRNP, ACHPN physically located at 1100 Grampian Blvd, Williamsport PA, 17701-1909. NPI Number Karen Shepard Clark RN, MS, CRNP, ACHPN has the Individual type.

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1073581518 NPI number is provided on an as is basis without warranty of any kind. 1073581518 is maintained by the National Plan & Provider Enumeration System. The contents of Karen Shepard Clark RN, MS, CRNP, ACHPN are for informational purposes only.