Yetta Hardy Clark CRNA

NPI 1013029461 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1013029461
Gender Female
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
145 KIMEL PARK DR
SUITE 300
WINSTON SALEM NC, 27103-6984, US
Phone (336) 768-3212
Fax (336) 768-9019
Business Location
145 KIMEL PARK DR
SUITE 300
WINSTON SALEM NC, 27103-6984, US
Phone (336) 768-3212
Fax (336) 768-9019
Toxanomy
Taxonomy Code 367500000X
License State North Carolina
License Number 043294
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According to our database, Yetta Hardy Clark CRNA NPI is 1013029461, taxonomy code is 367500000X and license number is 043294, license state is located at North Carolina. Yetta Hardy Clark CRNA physically located at 145 Kimel Park Dr, Winston Salem NC, 27103-6984. NPI Number Yetta Hardy Clark CRNA has the Individual type.

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1013029461 NPI number is provided on an as is basis without warranty of any kind. 1013029461 is maintained by the National Plan & Provider Enumeration System. The contents of Yetta Hardy Clark CRNA are for informational purposes only.