Individual
MRS. KATIE LYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
600 7TH ST SE, CEDAR RAPIDS, IA 52401-2120
(319) 398-6011
Mailing address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 398-6011
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
120268
IA
363LF0000X
Family Nurse Practitioner
Primary
A178291
IA
Other
Enumeration date
02/19/2024
Last updated
02/20/2024
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