Individual
ANITA CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 PENN PLAZA, 7TH FL, STE. 725, NEW YORK, NY 10119
(800) 842-2478
(212) 216-6606
Mailing address
9900 BREN RD E, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343-9664
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
302417
NY
Other
Enumeration date
01/08/2007
Last updated
11/13/2020
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