Individual
CAROLINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AG-CNS
Contact information
Practice address
136 MOUNTAINVIEW BLVD, BASKING RIDGE, NJ 07920-3444
(908) 542-3190
Mailing address
24 DAYTON RD, MORRIS PLAINS, NJ 07950-2425
(201) 280-4819
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
26NJ00967800
NJ
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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