Individual
MRS. LAURA A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3333 BURNET AVE, ML 2001, CINCINNATI, OH 45229-3026
(513) 636-4408
(513) 636-7337
Mailing address
3333 BURNET AVE, ML 2001, CINCINNATI, OH 45229-3026
(513) 636-4408
(513) 636-7337
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.01026
OH
363LP0200X
Pediatric Nurse Practitioner
APRN.CNP.01026
OH
Other
Enumeration date
03/05/2007
Last updated
03/30/2018
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