Individual
MR. BERNADINE CARLINE ANDERSON- CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8987 BIDDLE CT, WELLINGTON, FL 33414-6436
(561) 254-7933
Mailing address
8987 BIDDLE CT, WELLINGTON, FL 33414-6436
(561) 254-7933
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
9205733
FL
363LF0000X
Family Nurse Practitioner
346597
NY
363LF0000X
Family Nurse Practitioner
9205733
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46-2835472
—
FL
Enumeration date
11/29/2006
Last updated
07/03/2024
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