Individual
ANNIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP017701
PA
Other
Enumeration date
08/09/2017
Last updated
10/03/2024
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