Peggy O. Clark CNP

NPI 1225159312 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1225159312
Gender Female
Enumeration Date 04/03/2007
Last Updated 08/24/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
3333 BURNET AVE.
ML 2015
CINCINNATI OH, 45229-3039, US
Phone (513) 636-8467
Fax (513) 636-1888
Business Location
3333 BURNET AVE.
ML 2015
CINCINNATI OH, 45229-3039, US
Phone (513) 636-8467
Fax (866) 823-7996
Toxanomy
Taxonomy Code 363L00000X
License State Ohio
License Number COA.02473-NP
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According to our database, Peggy O. Clark CNP NPI is 1225159312, taxonomy code is 363L00000X and license number is COA.02473-NP, license state is located at Ohio. Peggy O. Clark CNP physically located at 3333 Burnet Ave., Cincinnati OH, 45229-3039. NPI Number Peggy O. Clark CNP has the Individual type.

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1225159312 NPI number is provided on an as is basis without warranty of any kind. 1225159312 is maintained by the National Plan & Provider Enumeration System. The contents of Peggy O. Clark CNP are for informational purposes only.