Individual
NICHOLAS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1538 MONTEREY ST, PITTSBURGH, PA 15212-4090
(567) 207-8646
Mailing address
1538 MONTEREY ST, PITTSBURGH, PA 15212-4090
(567) 207-8646
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
728326
PA
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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