Individual
PEGGY O. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3333 BURNET AVE., ML 2015, CINCINNATI, OH 45229-3039
(513) 636-8467
(513) 636-1888
Mailing address
3333 BURNET AVE., ML 2015, CINCINNATI, OH 45229-3039
(513) 636-8467
(513) 636-1888
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.02473-NP
OH
Other
Enumeration date
04/03/2007
Last updated
03/07/2023
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