Individual
AMANDA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
951A MOUNT HERMON RD, SALISBURY, MD 21804-5105
(410) 548-2700
(410) 548-2608
Mailing address
1101 CAMDEN AVE, HH180, SALISBURY, MD 21801-6837
(410) 543-6262
(410) 548-4101
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R170955
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R170955
LICENSE
MD
Enumeration date
08/03/2006
Last updated
02/14/2013
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