Individual
MICHELLE ANDREA CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3181 DAVIE BLVD, FORT LAUDERDALE, FL 33312-2728
(954) 415-2451
Mailing address
12580 NW 57TH CT, CORAL SPRINGS, FL 33076-3469
(954) 415-2451
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11021688
FL
Other
Enumeration date
09/08/2022
Last updated
05/25/2023
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