Individual
TODD L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
140 SHERMAN ST FL 2, 2ND FLOOR, FAIRFIELD, CT 06824-5849
(203) 759-8077
Mailing address
140 SHERMAN ST FL 2, FAIRFIELD, CT 06824-5849
(203) 759-8077
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9827
CT
363LF0000X
Family Nurse Practitioner
Primary
9827
CT
Other
Enumeration date
08/02/2021
Last updated
01/21/2024
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