Individual
KATHRYN L CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1845 W ORANGE GROVE RD BLDG 2, TUCSON, AZ 85704-1144
(520) 531-8967
(520) 742-7180
Mailing address
PO BOX 910221, DALLAS, TX 75391-0221
(520) 519-7700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP3406
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP3406
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
455938
—
AZ
01
—
AP3406
AZ NP LICENSE
AZ
01
—
RN132004
AZ RN LICENSE
AZ
Enumeration date
09/03/2009
Last updated
03/09/2022
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