Individual
MARY K CLARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-8568
(216) 636-5129
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-8568
(216) 636-5129
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN150182
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000327112
ANTHEM BC/BS
OH
05
—
2331766
—
OH
Enumeration date
06/03/2006
Last updated
03/22/2010
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