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Individual
DR. ANDREW CLARK SOBREPENA
Active
Individual
DR. ANDREW CLARK SOBREPENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, APRN-RX
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-114502
HI
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN-114502
HI
363L00000X
Nurse Practitioner
APRN-6101
HI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-6101
HI
Other
Enumeration date
08/12/2024
Last updated
09/27/2026
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