Individual
MRS. CAROLYNN KATHLEEN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, MSN, RN
Contact information
Practice address
12 S 8TH ST, YAKIMA, WA 98901-3020
(509) 454-4143
Mailing address
2205 W CHESTNUT AVE, YAKIMA, WA 98902-3744
(714) 615-9509
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60655666
WA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP60655666
WA
Other
Enumeration date
09/27/2011
Last updated
07/01/2020
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