Individual
DR. TARA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHDNP
Contact information
Practice address
600 S DOBSON RD STE E36, CHANDLER, AZ 85224-5693
(480) 471-8560
Mailing address
1143 W LANTANA DR, CHANDLER, AZ 85248-3719
(480) 330-8151
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2018023496
AZ
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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