Individual
MRS. MARIE KATHERINE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1625 N GEORGE MASON DR STE 288, ARLINGTON, VA 22205-3683
(703) 558-6300
Mailing address
1625 N GEORGE MASON DR STE 288, ARLINGTON, VA 22205-3683
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024000047
VA
Other
Enumeration date
02/04/2009
Last updated
02/28/2021
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