Tiffany M Clark CNP

NPI 1972617124 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1972617124
Gender Female
Enumeration Date 08/17/2006
Last Updated 01/29/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
9500 EUCLID AVE
CLEVELAND OH, 44195-0001, US
Phone (800) 223-2273
Fax
Business Location
6000 W CREEK RD
SUITE 10
INDEPENDENCE OH, 44131-2139, US
Phone (800) 223-2273
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Ohio
License Number RN277210
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According to our database, Tiffany M Clark CNP NPI is 1972617124, taxonomy code is 363L00000X and license number is RN277210, license state is located at Ohio. Tiffany M Clark CNP physically located at 9500 Euclid Ave, Cleveland OH, 44195-0001. NPI Number Tiffany M Clark CNP has the Individual type.

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1972617124 NPI number is provided on an as is basis without warranty of any kind. 1972617124 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany M Clark CNP are for informational purposes only.