Individual
AMY LEIGH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3000
Mailing address
205 COLWELL CT, WEIRTON, WV 26062-5020
(304) 374-4188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001334339
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024184875
VA
Other
Enumeration date
04/05/2022
Last updated
07/23/2025
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