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Individual

CLARA RENEE LAREW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP-C

Contact information

Practice address
527 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9008
(681) 342-3570
(681) 342-3575
Mailing address
527 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9008
(681) 342-3570

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
113429
WV
363LP2300X
Primary Care Nurse Practitioner
Primary
113429
WV

Other

Enumeration date
08/30/2022
Last updated
02/18/2025
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