Individual
ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1630 E HIGH ST, BLDG 4, POTTSTOWN, PA 19464-3244
(610) 327-1631
(610) 327-1199
Mailing address
1630 E HIGH ST, BLDG 4, POTTSTOWN, PA 19464-3244
(610) 327-1631
(610) 327-1199
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP013560
PA
Other
Enumeration date
12/31/2013
Last updated
03/09/2015
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