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Individual
TANYA CLARK
Active
Individual
TANYA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.332542
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.023401
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
76313
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AC006121
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.023401
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11039082
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C-APN.0101349-C-NP
CO
Other
Enumeration date
08/18/2021
Last updated
02/19/2026
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