Virginia C Clark PHD, LCSW, RN, CAP

NPI 1073607552 - Registered Nurse - 163W00000X

NPI Details
NPI 1073607552
Gender Female
Enumeration Date 10/02/2006
Last Updated 09/28/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
4326 SW 142ND STREET RD
OCALA FL, 34473-5637, US
Phone (352) 233-7200
Fax
Business Location
4326 SW 142ND STREET RD
OCALA FL, 34473-5637, US
Phone (352) 233-7200
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Florida
License Number RN1646792
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According to our database, Ms. Virginia C Clark PHD, LCSW, RN, CAP NPI is 1073607552, taxonomy code is 163W00000X and license number is RN1646792, license state is located at Florida. Virginia C Clark PHD, LCSW, RN, CAP physically located at 4326 Sw 142nd Street Rd, Ocala FL, 34473-5637. NPI Number Virginia C Clark PHD, LCSW, RN, CAP has the Individual type.

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1073607552 NPI number is provided on an as is basis without warranty of any kind. 1073607552 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia C Clark PHD, LCSW, RN, CAP are for informational purposes only.