Individual
CECELIA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, MD
Contact information
Practice address
1820 E WARM SPRINGS RD STE 140, LAS VEGAS, NV 89119-4593
(702) 779-3956
Mailing address
320 GRANDVILLE ARCH, SMITHFIELD, VA 23430-6266
(757) 332-6342
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166730
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023097615
—
VA
Enumeration date
01/11/2006
Last updated
01/31/2024
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