Myra Leslie Clark PHD, NP-C

NPI 1629228093 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1629228093
Gender Female
Enumeration Date 09/23/2008
Last Updated 10/11/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
7048 MECHANICSVILLE TPKE
MECHANICSVILLE VA, 23111-7101, US
Phone (804) 730-9498
Fax (804) 569-7967
Business Location
2485 RANSON CT
CHARLOTTESVILLE VA, 22911-8622, US
Phone (434) 293-0660
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Virginia
License Number 0024170893
Remove 1629228093 NPI Number
 

According to our database, Myra Leslie Clark PHD, NP-C NPI is 1629228093, taxonomy code is 363LF0000X and license number is 0024170893, license state is located at Virginia. Myra Leslie Clark PHD, NP-C physically located at 7048 Mechanicsville Tpke, Mechanicsville VA, 23111-7101. NPI Number Myra Leslie Clark PHD, NP-C has the Individual type.

Sponsored links

1629228093 NPI number is provided on an as is basis without warranty of any kind. 1629228093 is maintained by the National Plan & Provider Enumeration System. The contents of Myra Leslie Clark PHD, NP-C are for informational purposes only.