Individual
BRANDI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
914 S 12TH ST, ALTOONA, PA 16602-6247
(814) 201-2309
(814) 201-2389
Mailing address
914 S 12TH ST, ALTOONA, PA 16602-6247
(814) 201-2309
(814) 201-2389
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP027557
PA
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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