Individual
MRS. ANNETTE ALDRIDGE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2424 ERWIN RD, SUITE 504, DURHAM, NC 27705-3824
(919) 681-5551
Mailing address
510 STONECREEK DR, APEX, NC 27539-9733
(540) 420-9563
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5008320
NC
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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