Individual
MASHARIA ANN CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2763 1ST AVE N, ST PETERSBURG, FL 33713-8723
(727) 322-1054
(727) 323-6549
Mailing address
2763 1ST AVE N, ST PETERSBURG, FL 33713-8723
(727) 322-1054
(727) 323-6549
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP3023802
FL
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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