Individual
ELISABETH A CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
59 BANGOR ST, HOULTON, ME 04730-1740
(207) 538-3700
(207) 528-2880
Mailing address
529 S PATTEN RD, PATTEN, ME 04765-3007
(207) 538-3700
(207) 528-2880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN63645
ME
Other
Enumeration date
09/17/2019
Last updated
09/09/2020
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