Individual
CRISTIANA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052
(860) 224-5691
Mailing address
825 ORANGE ST APT 2, NEW HAVEN, CT 06511-2507
(817) 681-8674
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
121533
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
7643
CT
Other
Enumeration date
06/01/2018
Last updated
06/26/2018
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