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Individual

MS. ANNE CLARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3510 FAIT AVE, BALTIMORE, MD 21224-4310
(443) 398-0872
Mailing address
3510 FAIT AVE, BALTIMORE, MD 21224-4310
(443) 398-0872

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R176606
MD

Other

Enumeration date
06/30/2021
Last updated
06/30/2021
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