# HEATHER ANNE CLARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1427450386
- **Gender:** F
- **Credential:** AGANCP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 95001169 | CA | — |
| 363L00000X | Nurse Practitioner | 95001169 | CA | Yes |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | NP95001169 | CA | — |

## Other

- **Enumeration date:** 09/23/2014
- **Last updated:** 10/07/2015