Individual
MS. BONNIE L CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
5 SILVER RDG, VEAZIE, ME 04401-7086
(207) 942-0824
(207) 942-0824
Mailing address
5 SILVER RDG, VEAZIE, ME 04401-7086
(207) 942-0824
(207) 942-0824
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
CNP81695
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP81695
MAINE STATE BOARD OF NURSING
ME
01
—
RN18038
MAINE STATE BOARD OF NURSING
ME
Enumeration date
01/15/2007
Last updated
06/26/2013
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